{"hospital_name":"Springfield Hospital","standard_charge_information":[{"description":"Polatuzumab Vedotin-piiq 140 Mg Vl","code_information":[{"code":"4070180","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242010501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":58034,"gross_charge":55802,"discounted_cash":41852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53012},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":21205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55802},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55802},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58034},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53012},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21417},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55802},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55802},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42968},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50222},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21841},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55802},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21205}]}],"drug_information":{"unit":140,"type":"ME"}},{"description":"Risankizumab-rzaa 600 Mg / 10 Ml Vial","code_information":[{"code":"4070270","type":"CDM"},{"code":"636","type":"RC"},{"code":"74501","type":"CPT","modifier":"501"}],"standard_charges":[{"setting":"outpatient","modifier_code":["501"],"minimum":16555,"maximum":45308,"gross_charge":43565,"discounted_cash":32674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41387},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29202},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":16555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16555},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43565},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43565},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45308},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30583},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16720},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43565},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43565},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33545},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16555},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26771},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16555},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17051},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43565},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16555}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Luspatercept-aamt 75 Mg Vial","code_information":[{"code":"4070250","type":"CDM"},{"code":"636","type":"RC"},{"code":"59572077501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":42632,"gross_charge":40992,"discounted_cash":30744,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38942},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":15577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40992},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40992},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28776},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33917},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40992},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40992},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36893},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16044},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40992},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15577}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Daratumumab/hyalu-fihj 1800 Mg / 30000 U","code_information":[{"code":"4070052","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894050301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":36544,"gross_charge":35138,"discounted_cash":26354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33381},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23553},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":13352},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13352},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24667},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29165},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27056},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13352},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31624},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13352},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13753},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13352}]}],"drug_information":{"unit":1800,"type":"ME"}},{"description":"Comp/fem Echelon Sz-15 #7134-0115","code_information":[{"code":"3251628","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13072,"maximum":35777,"gross_charge":34401,"discounted_cash":25801,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32681},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23059},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":13072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13072},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34401},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34401},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35777},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32681},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34401},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34401},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26489},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13072},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21139},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30961},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13072},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34401},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13072}]}]},{"description":"Interstim Ii Neurostimulator","code_information":[{"code":"3259430","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1767","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12967,"maximum":35488,"gross_charge":34123,"discounted_cash":25592,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32417},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":12967},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12967},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35488},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13096},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28322},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26275},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12967},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20969},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30711},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12967},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13356},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12967}]}]},{"description":"Pump Ams 700 Cx Ms","code_information":[{"code":"3700383","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1813","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12572,"maximum":34406,"gross_charge":33083,"discounted_cash":24812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31429},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":12572},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12572},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33083},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33083},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34406},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23224},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33083},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33083},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27459},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12572},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20330},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12572},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12949},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33083},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12572}]}]},{"description":"Or3 Nurse 241-300","code_information":[{"code":"3210231","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12440,"maximum":34045,"gross_charge":32736,"discounted_cash":24552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31099},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21943},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":12440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32736},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32736},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34045},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31099},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12564},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32736},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32736},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20116},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29462},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32736},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12440}]}]},{"description":"Or3 Nurse >360","code_information":[{"code":"3210233","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11888,"maximum":32535,"gross_charge":31284,"discounted_cash":23463,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29720},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20970},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":11888},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11888},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32535},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21961},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12007},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25966},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24089},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11888},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19224},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28156},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11888},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11888}]}]},{"description":"Comp/femoral Size 8 Rt  #7142-1178","code_information":[{"code":"3251700","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":11828,"maximum":32371,"gross_charge":31126,"discounted_cash":23345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29570},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20864},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":11828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11828},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32371},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21850},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25835},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23967},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11828},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19127},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11828},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11828}]}]},{"description":"Vedolizumab 300 Mg Vial","code_information":[{"code":"4079116","type":"CDM"},{"code":"636","type":"RC"},{"code":"64764030020","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":31546,"gross_charge":30333,"discounted_cash":22750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28816},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":11527},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11527},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31546},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21294},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28816},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25098},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11642},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11527},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27300},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11527},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11872},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11527}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Alteplase 100 Mg Inj","code_information":[{"code":"4078086","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242008527","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":31015,"gross_charge":29822,"discounted_cash":22367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19990},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":11332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29822},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29822},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31015},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20935},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11446},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29822},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29822},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24752},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22963},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26840},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11672},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29822},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11332}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Tenecteplase 50 Mg","code_information":[{"code":"4077308","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242017601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":30261,"gross_charge":29097,"discounted_cash":21823,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27642},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19504},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29097},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29097},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20426},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24075},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29097},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29097},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22405},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26187},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29097},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11057}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Or3 Nurse 181-240","code_information":[{"code":"3210230","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10891,"maximum":29806,"gross_charge":28660,"discounted_cash":21495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10891},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10891},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28660},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28660},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29806},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11000},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28660},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28660},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23788},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22068},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10891},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17612},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25794},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10891},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28660},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10891}]}]},{"description":"Cabazitaxel 60 Mg Inj","code_information":[{"code":"4078512","type":"CDM"},{"code":"636","type":"RC"},{"code":"24582","type":"CPT","modifier":"411"}],"standard_charges":[{"setting":"outpatient","modifier_code":["411"],"minimum":10781,"maximum":29507,"gross_charge":28372,"discounted_cash":21279,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26953},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19018},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10781},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10781},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28372},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28372},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19917},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26953},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23475},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10889},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28372},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28372},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23549},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21846},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10781},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17435},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10781},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28372},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10781}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Atezolizumab 1200 Mg / 20 Ml (60 Mg/ml)","code_information":[{"code":"4070066","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242091701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":27253,"gross_charge":26205,"discounted_cash":19654,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17565},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18396},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10057},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21750},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23585},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10257},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9958}]}],"drug_information":{"unit":1200,"type":"ME"}},{"description":"Or3 Nurse 301-360","code_information":[{"code":"3210232","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9829,"maximum":26900,"gross_charge":25865,"discounted_cash":19399,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17337},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":9829},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9829},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25865},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25865},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9927},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25865},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25865},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21468},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19916},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9829},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15894},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23279},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9829},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25865},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9829}]}]},{"description":"Or2 Nurse 301-360","code_information":[{"code":"3210221","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9711,"maximum":26577,"gross_charge":25555,"discounted_cash":19166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":9711},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9711},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26577},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17940},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9808},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19677},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9711},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15704},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23000},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9711},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10002},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9711}]}]},{"description":"Ornurse >360","code_information":[{"code":"3210222","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9617,"maximum":26320,"gross_charge":25308,"discounted_cash":18981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24043},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16964},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":9617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9617},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25308},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25308},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9713},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25308},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25308},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21006},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19487},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9617},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15552},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9617},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9906},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25308},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9617}]}]},{"description":"Immune Globulin (Privigen) 40 Gram","code_information":[{"code":"4079078","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206043940","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":25335,"gross_charge":24361,"discounted_cash":18271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":9257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24361},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24361},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9350},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24361},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24361},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20220},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21925},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9535},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24361},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9257}]}],"drug_information":{"unit":40,"type":"GR"}},{"description":"Meshed Bilayer Wound Mat 4 X5","code_information":[{"code":"3700514","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4104","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9140,"maximum":25015,"gross_charge":24053,"discounted_cash":18040,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22850},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":9140},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24053},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24053},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25015},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16885},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24053},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24053},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18521},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14781},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21648},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9414},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24053},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9140}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Or2 Nurse 241-300","code_information":[{"code":"3210220","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8976,"maximum":24567,"gross_charge":23622,"discounted_cash":17717,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15834},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8976},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8976},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23622},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23622},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16583},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19545},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9066},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23622},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23622},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19606},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8976},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14516},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8976},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9246},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23622},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8976}]}]},{"description":"Stem Femoral Sz 19 190mm","code_information":[{"code":"3700557","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8748,"maximum":23941,"gross_charge":23020,"discounted_cash":17265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21869},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15430},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23941},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21869},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19047},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8835},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14146},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20718},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9010},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8748}]}]},{"description":"Meshed Integra Regen 4x5 Cm","code_information":[{"code":"3700959","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4105","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8735,"maximum":23905,"gross_charge":22986,"discounted_cash":17240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21837},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15408},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8735},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8735},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22986},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22986},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23905},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19019},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8822},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22986},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22986},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19078},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8735},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14125},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8735},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8997},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22986},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8735}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bone Filler Cerament Fi G 10ml","code_information":[{"code":"3700860","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8624,"maximum":23603,"gross_charge":22695,"discounted_cash":17021,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21560},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22695},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22695},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23603},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15932},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8710},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22695},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22695},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18837},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17475},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13946},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22695},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624}]}]},{"description":"Or2 Nurse 181-240","code_information":[{"code":"3210219","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8575,"maximum":23468,"gross_charge":22565,"discounted_cash":16924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8575},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8575},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22565},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22565},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23468},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15841},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8660},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22565},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22565},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8575},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13866},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20309},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8575},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8832},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22565},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8575}]}]},{"description":"Or3 Nurse 151-180","code_information":[{"code":"3210229","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8564,"maximum":23440,"gross_charge":22538,"discounted_cash":16904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8564},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8564},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22538},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22538},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23440},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15822},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8650},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22538},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22538},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18707},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17354},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8564},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13850},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8564},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8821},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22538},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8564}]}]},{"description":"Comp/fem Sz-6n Lft #7142-1246","code_information":[{"code":"3251083","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8448,"maximum":23121,"gross_charge":22232,"discounted_cash":16674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14902},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8448},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15607},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8533},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8448},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13662},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20009},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8448},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8702},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8448}]}]},{"description":"Femoral Tc3 Sz5 Left #96-0084","code_information":[{"code":"3251097","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8395,"maximum":22976,"gross_charge":22092,"discounted_cash":16569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20987},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14808},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8395},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8395},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22092},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22092},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15509},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8479},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22092},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22092},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18336},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8395},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13576},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19883},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8395},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8647},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22092},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8395}]}]},{"description":"Or3 Nurse 121-150","code_information":[{"code":"3210228","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8314,"maximum":22753,"gross_charge":21878,"discounted_cash":16409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14665},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8314},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8314},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22753},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8397},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16846},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8314},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13444},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8314},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8563},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8314}]}]},{"description":"Phasix St 20x25cm","code_information":[{"code":"3700162","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8191,"maximum":22416,"gross_charge":21554,"discounted_cash":16166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22416},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17890},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16597},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13245},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8436},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191}]}]},{"description":"Comp/fem Sz 18 #7134-2018","code_information":[{"code":"3251061","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":7444,"maximum":20374,"gross_charge":19590,"discounted_cash":14693,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18611},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":7444},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7444},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13752},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7519},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15084},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7444},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12038},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17631},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7444},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7444}]}]},{"description":"Nivolumab 240 Mg / 24 Ml Vial","code_information":[{"code":"4070014","type":"CDM"},{"code":"636","type":"RC"},{"code":"33734","type":"CPT","modifier":"13"}],"standard_charges":[{"setting":"outpatient","modifier_code":["13"],"minimum":7023,"maximum":19221,"gross_charge":18482,"discounted_cash":13862,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17558},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":7023},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7023},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18482},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18482},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12974},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7093},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18482},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18482},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15340},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14231},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7023},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11357},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16634},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7023},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18482},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7023}]}],"drug_information":{"unit":240,"type":"ME"}},{"description":"Platform/tibial Tray  #1294-35-150","code_information":[{"code":"3251096","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":7019,"maximum":19210,"gross_charge":18471,"discounted_cash":13853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17547},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":7019},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7019},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18471},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18471},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12967},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17547},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7089},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18471},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18471},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7019},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11350},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7019},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18471},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7019}]}]},{"description":"Atezolizumab 840 Mg / 14 Ml (60 Mg/ml)","code_information":[{"code":"4070075","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242091701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":19077,"gross_charge":18343,"discounted_cash":13757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17426},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12295},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6970},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6970},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18343},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18343},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12877},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7040},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18343},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18343},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6970},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16509},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6970},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7179},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18343},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6970}]}],"drug_information":{"unit":840,"type":"ME"}},{"description":"Mesh Phasix 8  Circle","code_information":[{"code":"3700545","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6899,"maximum":18882,"gross_charge":18156,"discounted_cash":13617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17248},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6899},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6899},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18882},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15022},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6968},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15069},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13980},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6899},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16340},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6899},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6899}]}]},{"description":"Pacemaker/pacesetter Solus Ii/model2006l","code_information":[{"code":"3256745","type":"CDM"},{"code":"275","type":"RC"},{"code":"CP3256745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6852,"maximum":18752,"gross_charge":18031,"discounted_cash":13523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17129},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12086},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18031},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18031},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18752},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14919},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6920},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18031},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18031},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14966},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13884},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11080},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7057},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18031},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6852}]}]},{"description":"Stem/humeral 12x130 #01.04207.122","code_information":[{"code":"3251029","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6783,"maximum":18565,"gross_charge":17851,"discounted_cash":13388,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16958},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11966},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6783},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6783},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17851},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17851},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18565},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14770},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6851},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17851},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17851},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14816},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13745},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6783},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10969},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16066},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6783},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6987},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17851},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6783}]}]},{"description":"Or2 Nurse 151-180","code_information":[{"code":"3210218","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6764,"maximum":18513,"gross_charge":17801,"discounted_cash":13351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11932},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6764},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6764},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17801},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17801},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18513},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14729},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6832},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17801},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17801},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13707},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6764},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10939},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16021},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6764},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6967},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17801},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6764}]}]},{"description":"Alloderm 8cmx16cm","code_information":[{"code":"3250408","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6612,"maximum":18097,"gross_charge":17401,"discounted_cash":13051,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16531},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6612},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6612},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17401},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17401},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18097},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12216},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14398},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6679},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17401},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17401},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14443},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13399},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6612},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10693},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15661},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6612},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17401},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6612}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Alloderm 8x20","code_information":[{"code":"3250456","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6590,"maximum":18037,"gross_charge":17343,"discounted_cash":13007,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11625},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6590},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6590},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17343},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17343},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18037},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12175},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6656},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17343},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17343},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14395},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13354},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6590},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10657},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6590},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6788},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17343},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6590}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Comp/femoral Sz-6 Lft #7142-1166","code_information":[{"code":"3250544","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6581,"maximum":18012,"gross_charge":17319,"discounted_cash":12989,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16453},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11609},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6581},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6581},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17319},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17319},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18012},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12158},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6647},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17319},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17319},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6581},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10643},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6581},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6779},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17319},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6581}]}]},{"description":"Plate Tightrope Buttress","code_information":[{"code":"3700640","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6563,"maximum":17963,"gross_charge":17272,"discounted_cash":12954,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16408},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11577},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6563},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6563},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17272},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17272},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17963},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16408},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17272},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17272},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14336},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13299},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6563},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10614},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15545},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6563},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6760},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17272},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6563}]}]},{"description":"Comp/fem Sz-14 #7131-6014","code_information":[{"code":"3251229","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6522,"maximum":17851,"gross_charge":17164,"discounted_cash":12873,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11505},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":6522},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12049},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6588},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6522},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6522},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6718},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6522}]}]},{"description":"Comp/fem  #7131-6012","code_information":[{"code":"3251733","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6503,"maximum":17796,"gross_charge":17112,"discounted_cash":12834,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16256},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11470},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6503},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17796},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12013},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6568},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6503},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10515},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15401},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6503},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6698},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6503}]}]},{"description":"Hfn 10mm X 16cm Lt Ref 7170-1016l","code_information":[{"code":"3700093","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6346,"maximum":17368,"gross_charge":16700,"discounted_cash":12525,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15865},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11194},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6346},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6346},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16700},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16700},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11723},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15865},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6409},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16700},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16700},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12859},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6346},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10262},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15030},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6346},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6536},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16700},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6346}]}]},{"description":"Rituximab 500 Mg Vial","code_information":[{"code":"4077356","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242005306","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":17100,"gross_charge":16442,"discounted_cash":12332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11021},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6248},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6248},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11542},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15620},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13647},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12660},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6248},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14798},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6248},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6435},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6248}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Pacemaker/minix Model 8342","code_information":[{"code":"3254905","type":"CDM"},{"code":"275","type":"RC"},{"code":"CP3254905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6180,"maximum":16914,"gross_charge":16263,"discounted_cash":12197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15450},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10901},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6180},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16914},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11417},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15450},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6242},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13498},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12523},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6180},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9994},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14637},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6180},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6365},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6180}]}]},{"description":"Tibia/base Lgn Rev Sz 5 Rt #7142-4015","code_information":[{"code":"3250387","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6140,"maximum":16803,"gross_charge":16157,"discounted_cash":12118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15349},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10830},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16803},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11342},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13410},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9928},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6324},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6140}]}]},{"description":"Ramucirumab 500 Mg Vial","code_information":[{"code":"4070009","type":"CDM"},{"code":"636","type":"RC"},{"code":"27678","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":5922,"maximum":16207,"gross_charge":15584,"discounted_cash":11688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5922},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15584},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15584},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10940},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5981},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15584},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15584},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5922},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9576},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14026},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5922},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15584},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5922}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Comp/femoral 12/14 165mm Med #7131-2232","code_information":[{"code":"3257911","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5853,"maximum":16019,"gross_charge":15403,"discounted_cash":11552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10325},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5853},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5853},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16019},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10813},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12744},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12784},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11860},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5853},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9465},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13863},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5853},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6029},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5853}]}]},{"description":"Or4 Nurse 121-150","code_information":[{"code":"3210239","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5714,"maximum":15637,"gross_charge":15036,"discounted_cash":11277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10079},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15036},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15036},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15637},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10555},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14284},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5771},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15036},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15036},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12480},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9240},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5885},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15036},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5714}]}]},{"description":"Or2 Nurse 121-150","code_information":[{"code":"3210217","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5646,"maximum":15452,"gross_charge":14858,"discounted_cash":11144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9959},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5646},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14858},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14858},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5703},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14858},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14858},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12332},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5646},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9130},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5646},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5815},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14858},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5646}]}]},{"description":"Obinutuzumab 1000 Mg Vial","code_information":[{"code":"4078969","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242007001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":15444,"gross_charge":14850,"discounted_cash":11138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9954},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14850},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14850},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5699},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14850},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14850},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12326},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11435},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13365},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5812},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14850},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5643}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Artelon Flexband Twist .30","code_information":[{"code":"3701095","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5613,"maximum":15363,"gross_charge":14772,"discounted_cash":11079,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14033},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9902},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5613},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10370},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14033},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11374},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5613},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9077},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13295},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5613},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5782},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5613}]}]},{"description":"Base Tibia Sz 6 Rt","code_information":[{"code":"3251424","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5579,"maximum":15268,"gross_charge":14681,"discounted_cash":11011,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13947},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5579},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14681},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14681},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10306},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5635},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14681},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14681},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5579},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9021},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5579},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5746},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14681},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5579}]}]},{"description":"Or3 Nurse 91-120","code_information":[{"code":"3210227","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5577,"maximum":15262,"gross_charge":14675,"discounted_cash":11006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9837},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14675},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14675},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10302},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14675},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14675},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5744},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14675},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5577}]}]},{"description":"Stem/porocoat Standard Sz 8 107mm","code_information":[{"code":"3251969","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5539,"maximum":15159,"gross_charge":14576,"discounted_cash":10932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13847},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9770},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5539},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5539},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14576},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14576},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10232},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12060},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14576},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14576},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12098},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5539},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8957},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5539},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5705},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14576},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5539}]}]},{"description":"Pertuzumab 420 Mg Vial","code_information":[{"code":"4079100","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242014501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":15003,"gross_charge":14426,"discounted_cash":10820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13705},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9670},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5482},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15003},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11974},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5482},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12983},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5482},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5646},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5482}]}],"drug_information":{"unit":420,"type":"ME"}},{"description":"Endo Retract 10mm","code_information":[{"code":"3255602","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255602","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5346,"maximum":14632,"gross_charge":14069,"discounted_cash":10552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13366},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9430},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14069},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14069},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9876},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11641},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5400},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14069},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14069},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11677},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10833},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8645},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14069},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5346}]}]},{"description":"Evolve Elbow Joint Stem 6.5mm","code_information":[{"code":"3700807","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5185,"maximum":14192,"gross_charge":13646,"discounted_cash":10235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12964},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13646},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13646},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9579},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5237},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13646},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13646},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11326},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8385},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13646},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5185}]}]},{"description":"Humeral Stem 12mmx130mm #4348-112-13","code_information":[{"code":"3251262","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5083,"maximum":13911,"gross_charge":13376,"discounted_cash":10032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12707},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8966},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13911},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8220},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5235},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083}]}]},{"description":"Humeral Stem 13mmx130mm #4348-113-13","code_information":[{"code":"3251263","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5083,"maximum":13911,"gross_charge":13376,"discounted_cash":10032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12707},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8966},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13911},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8220},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5235},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5083}]}]},{"description":"Fixator/dfs Construx #01800","code_information":[{"code":"3250394","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4898,"maximum":13406,"gross_charge":12890,"discounted_cash":9668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8640},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12890},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12890},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13406},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9049},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4947},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12890},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12890},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10699},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9925},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7921},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11601},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5045},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12890},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4898}]}]},{"description":"Dressing Bmwd 2x2 In","code_information":[{"code":"3700854","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4104","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4853,"maximum":13283,"gross_charge":12772,"discounted_cash":9579,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8561},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8966},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10568},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4902},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10601},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9834},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7848},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4999},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ado-trastuzumab 160 Mg Vial","code_information":[{"code":"4079070","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242008701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":13283,"gross_charge":12772,"discounted_cash":9579,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8561},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8966},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10568},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4902},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10601},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9834},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11495},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4999},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12772},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4853}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Stem/humeral 11x130 #01.04207.112","code_information":[{"code":"3251626","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4852,"maximum":13279,"gross_charge":12768,"discounted_cash":9576,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8558},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12768},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12768},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8963},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10564},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4900},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12768},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12768},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10597},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7846},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4997},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12768},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4852}]}]},{"description":"Comp/fem Sz-7 Lft #7142-1217","code_information":[{"code":"3259676","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4791,"maximum":13113,"gross_charge":12609,"discounted_cash":9457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11979},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8452},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4791},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12609},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12609},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8852},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4839},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12609},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12609},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10465},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9709},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4791},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7748},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11348},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4791},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4935},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12609},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4791}]}]},{"description":"Graft/hydrated Amino/chorion 2x2cm 3ml","code_information":[{"code":"3700974","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1762","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4780,"maximum":13083,"gross_charge":12580,"discounted_cash":9435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11951},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8432},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12580},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12580},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13083},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8831},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4828},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12580},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12580},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10441},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9687},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7730},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11322},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4924},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12580},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4780}]}]},{"description":"Pacemaker/adpata Dr # Addr01","code_information":[{"code":"3259352","type":"CDM"},{"code":"275","type":"RC"},{"code":"C1785","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4777,"maximum":13074,"gross_charge":12571,"discounted_cash":9428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11942},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8426},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4777},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12571},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12571},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13074},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8825},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4825},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12571},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12571},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10434},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9680},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7725},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11314},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12571},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4777}]}]},{"description":"Corail #3l92511","code_information":[{"code":"3251521","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4760,"maximum":13026,"gross_charge":12525,"discounted_cash":9394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11899},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13026},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4807},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7697},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4902},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760}]}]},{"description":"Corail #3l93711","code_information":[{"code":"3251311","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4760,"maximum":13026,"gross_charge":12525,"discounted_cash":9394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11899},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13026},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4807},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7697},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4902},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12525},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4760}]}]},{"description":"Bc Achilles Spdbrg W/kl 3.9mm","code_information":[{"code":"3700743","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4756,"maximum":13016,"gross_charge":12515,"discounted_cash":9386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8786},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10387},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9637},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7690},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756}]}]},{"description":"Dynamite Comp Plate 4 Hole Str 20mm","code_information":[{"code":"3700166","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4756,"maximum":13016,"gross_charge":12515,"discounted_cash":9386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8786},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10387},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9637},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7690},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12515},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4756}]}]},{"description":"Base Tibia Sz 8 Rt","code_information":[{"code":"3251703","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4735,"maximum":12959,"gross_charge":12461,"discounted_cash":9346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11838},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4735},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4735},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12461},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12461},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12959},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10310},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4783},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12461},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12461},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4735},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7657},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11215},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4735},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4877},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12461},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4735}]}]},{"description":"Base Tibia Sz 3 Rt","code_information":[{"code":"3251624","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4729,"maximum":12943,"gross_charge":12445,"discounted_cash":9334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11823},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8342},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4729},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4729},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12445},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12445},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12943},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8736},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12445},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12445},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10329},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9583},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4729},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7647},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11201},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4729},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4871},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12445},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4729}]}]},{"description":"Corail #3l93712","code_information":[{"code":"3251051","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4666,"maximum":12771,"gross_charge":12280,"discounted_cash":9210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8621},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4713},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9456},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4806},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666}]}]},{"description":"Lat Fem Stem W/collar #3l93713","code_information":[{"code":"3251306","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4666,"maximum":12771,"gross_charge":12280,"discounted_cash":9210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8621},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4713},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9456},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4806},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4666}]}]},{"description":"Comp/fem Sz-6 Rt #7142-1206","code_information":[{"code":"3259845","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4648,"maximum":12720,"gross_charge":12231,"discounted_cash":9173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11619},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4648},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4648},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12720},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8586},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11619},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4694},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10152},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9418},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4648},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7516},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11008},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4648},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4648}]}]},{"description":"Tezepelumab-ekko 210 Mg / 1.91 Ml Subq","code_information":[{"code":"4070236","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513011201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":12569,"gross_charge":12086,"discounted_cash":9065,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11482},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12086},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12086},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10000},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4639},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12086},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12086},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10031},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10877},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4730},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12086},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4593}]}],"drug_information":{"unit":210,"type":"ME"}},{"description":"Comp/fem Sz-4n Rt #7142-1254","code_information":[{"code":"3251514","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4552,"maximum":12457,"gross_charge":11978,"discounted_cash":8984,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11379},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8029},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4552},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8409},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9942},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7360},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10780},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4688},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552}]}]},{"description":"Comp/fem Sz-5n Lft #7142-1245","code_information":[{"code":"3251599","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4552,"maximum":12457,"gross_charge":11978,"discounted_cash":8984,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11379},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8029},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4552},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8409},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9942},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7360},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10780},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4688},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11978},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552}]}]},{"description":"Comp/fem Sz-3 Lft #7142-1233","code_information":[{"code":"3250717","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4537,"maximum":12417,"gross_charge":11939,"discounted_cash":8954,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8003},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4537},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4537},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11939},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11939},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8381},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11342},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11939},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11939},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9909},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4537},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7337},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4537},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4673},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11939},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4537}]}]},{"description":"Immune Globulin (Privigen) 20 Gram","code_information":[{"code":"4079077","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206043820","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":12405,"gross_charge":11928,"discounted_cash":8946,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11332},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7995},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4533},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4533},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11928},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11928},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12405},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8373},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9869},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4578},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11928},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11928},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9900},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9185},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4533},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10735},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4533},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11928},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4533}]}],"drug_information":{"unit":20,"type":"GR"}},{"description":"Plate Evos 3.5x92 Cvd Hum 4h","code_information":[{"code":"3700796","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4504,"maximum":12327,"gross_charge":11853,"discounted_cash":8890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7945},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11853},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11853},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12327},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8321},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9807},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4549},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11853},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11853},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9838},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7284},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4639},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11853},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4504}]}]},{"description":"Or2 Nurse 91-120","code_information":[{"code":"3210216","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4440,"maximum":12152,"gross_charge":11685,"discounted_cash":8764,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7832},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8203},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9668},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9699},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7180},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10517},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4574},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440}]}]},{"description":"Plate Evos 3.5x162mm Humerus","code_information":[{"code":"3700782","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4425,"maximum":12112,"gross_charge":11646,"discounted_cash":8735,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11064},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7806},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4425},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11646},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11646},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8175},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11064},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11646},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11646},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9666},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8967},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10481},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4558},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11646},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4425}]}]},{"description":"Comp/fem Sz-4 Lft #7142-1234","code_information":[{"code":"3259593","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4401,"maximum":12045,"gross_charge":11582,"discounted_cash":8687,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11003},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7763},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4401},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4401},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12045},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11003},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9613},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8918},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4401},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4401},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4533},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4401}]}]},{"description":"Comp/fem Sz-8 Rt #7142-1208","code_information":[{"code":"3259729","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4399,"maximum":12038,"gross_charge":11575,"discounted_cash":8681,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10996},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7759},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4399},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11575},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11575},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12038},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10996},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4442},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11575},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11575},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8913},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7113},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10418},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11575},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4399}]}]},{"description":"Bendamustine 180 Mg/2 Ml Vial","code_information":[{"code":"4079008","type":"CDM"},{"code":"636","type":"RC"},{"code":"63459034804","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":11993,"gross_charge":11532,"discounted_cash":8649,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10955},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7730},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4382},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11532},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11532},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8095},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10955},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11532},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11532},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8880},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4382},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10379},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4382},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4514},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11532},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4382}]}],"drug_information":{"unit":180,"type":"ME"}},{"description":"Evolve Elbow Joint Head 22mm","code_information":[{"code":"3700806","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4364,"maximum":11942,"gross_charge":11483,"discounted_cash":8612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10909},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7697},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4364},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11483},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11483},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8061},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10909},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4407},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11483},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11483},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9531},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8842},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4364},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7056},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4364},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11483},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4364}]}]},{"description":"Repair of groin hernia patient age 5 years or older","code_information":[{"code":"CP17543256209718027","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"49505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4311,"maximum":11799,"gross_charge":11345,"discounted_cash":8509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7605},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11345},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11345},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7964},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4354},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11345},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11345},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9416},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8736},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11345},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4311}]}]},{"description":"Phasix St 10x15cm","code_information":[{"code":"3700161","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4295,"maximum":11754,"gross_charge":11302,"discounted_cash":8477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10737},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7576},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11302},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11302},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11754},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7934},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10737},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11302},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11302},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9381},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8703},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6945},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11302},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4295}]}]},{"description":"Plate Evos 2.7/3.5 4h L 82mm","code_information":[{"code":"3700889","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4288,"maximum":11734,"gross_charge":11283,"discounted_cash":8462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7563},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4288},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11283},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11283},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11734},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7921},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4330},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11283},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11283},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8688},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4288},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6933},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4288},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11283},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4288}]}]},{"description":"Pacemaker/adapta Sr #Adsr01","code_information":[{"code":"3259421","type":"CDM"},{"code":"275","type":"RC"},{"code":"C1786","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4246,"maximum":11621,"gross_charge":11174,"discounted_cash":8381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10615},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7490},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4246},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7844},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9274},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8604},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4246},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6866},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4246},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4374},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4246}]}]},{"description":"Tocilizumab 400 Mg / 20 Ml Vial","code_information":[{"code":"4070193","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242013701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":11600,"gross_charge":11154,"discounted_cash":8366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10596},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4239},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11600},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7830},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9258},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8589},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4239},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10039},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4239},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4239}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Lapiplasty Speed Plate Micro Quad","code_information":[{"code":"3701099","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4233,"maximum":11586,"gross_charge":11140,"discounted_cash":8355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11586},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7820},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4276},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6846},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10026},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4360},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4233}]}]},{"description":"Nail 10mmx25cm Rt","code_information":[{"code":"3700778","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4202,"maximum":11499,"gross_charge":11057,"discounted_cash":8293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10504},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11499},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7762},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4244},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6795},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9951},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4328},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11057},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4202}]}]},{"description":"Laser Supplies,tech.,equip.","code_information":[{"code":"3210250","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4176,"maximum":11430,"gross_charge":10990,"discounted_cash":8243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9093},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8462},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6753},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9891},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4301},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176}]}]},{"description":"Prothrombin Complex Concentrate 1000","code_information":[{"code":"4079153","type":"CDM"},{"code":"636","type":"RC"},{"code":"63833038702","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":11430,"gross_charge":10990,"discounted_cash":8243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9093},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8462},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9891},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4301},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Comp/fem Sz-4 Rt #7142-1224","code_information":[{"code":"3259675","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4165,"maximum":11398,"gross_charge":10960,"discounted_cash":8220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10412},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7346},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9068},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4206},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9097},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8439},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4165}]}]},{"description":"Staple Nitinol Supermx 18wx15l","code_information":[{"code":"3700913","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4099,"maximum":11218,"gross_charge":10787,"discounted_cash":8090,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10248},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10787},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10787},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7572},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8925},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10787},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10787},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8953},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9708},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10787},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099}]}]},{"description":"Insert/articular Size 5-6 #7145-3255","code_information":[{"code":"3251564","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251564","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4091,"maximum":11198,"gross_charge":10767,"discounted_cash":8075,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10767},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10767},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11198},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7558},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8909},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10767},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10767},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8937},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6616},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10767},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4091}]}]},{"description":"Plate/lapiplasty Speed 28x13x11mm","code_information":[{"code":"3700968","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4036,"maximum":11046,"gross_charge":10621,"discounted_cash":7966,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10090},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4036},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4036},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10621},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10621},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11046},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7456},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4076},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10621},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10621},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8815},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4036},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6527},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9559},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4036},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10621},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4036}]}]},{"description":"Nail/trigen 11.5mmx36cm W/ 2m Lft","code_information":[{"code":"3251982","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4030,"maximum":11030,"gross_charge":10606,"discounted_cash":7955,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10076},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4030},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4030},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10606},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10606},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11030},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10076},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4071},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10606},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10606},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8803},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4030},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6517},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9545},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4030},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10606},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4030}]}]},{"description":"Plate 2.7/3.5x90 Humerus L-d Rt","code_information":[{"code":"3700784","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4012,"maximum":10979,"gross_charge":10557,"discounted_cash":7918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10029},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7076},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4012},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10557},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10557},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10979},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8735},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10557},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10557},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8762},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6487},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4132},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10557},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4012}]}]},{"description":"Comp/femeral 3r #7142-0148","code_information":[{"code":"3258617","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4010,"maximum":10975,"gross_charge":10553,"discounted_cash":7915,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10025},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7074},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10553},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10553},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10975},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7408},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10025},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8732},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4050},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10553},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10553},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8759},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6485},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9498},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10553},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4010}]}]},{"description":"Comp/fem Sz-8 Rt #7142-1228","code_information":[{"code":"3259625","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4005,"maximum":10961,"gross_charge":10539,"discounted_cash":7904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10012},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7064},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":4005},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4005},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7398},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10012},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8747},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4005},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6476},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9485},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4005},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4125},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4005}]}]},{"description":"Plate Evos 3.5x147mm Humerus","code_information":[{"code":"3700635","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3977,"maximum":10885,"gross_charge":10466,"discounted_cash":7850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9943},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7015},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10466},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10466},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7347},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4017},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10466},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10466},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8687},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8059},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4096},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10466},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3977}]}]},{"description":"Evolve R Stem 5.5mm +2","code_information":[{"code":"3700183","type":"CDM"},{"code":"274","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3938,"maximum":10776,"gross_charge":10362,"discounted_cash":7772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9844},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6946},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10362},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10362},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9844},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10362},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10362},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8600},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7979},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4056},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10362},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3938}]}]},{"description":"Octreotide Acetate 20 Mg Depot","code_information":[{"code":"4077268","type":"CDM"},{"code":"636","type":"RC"},{"code":"78064","type":"CPT","modifier":"761"}],"standard_charges":[{"setting":"outpatient","modifier_code":["761"],"minimum":3928,"maximum":10749,"gross_charge":10336,"discounted_cash":7752,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9819},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6928},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3928},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3928},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10336},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10336},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10749},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8552},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3967},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10336},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10336},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8579},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7959},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3928},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3928},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4046},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10336},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3928}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Graftjacket Now Std 4x8cm","code_information":[{"code":"3700256","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4107","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3905,"maximum":10686,"gross_charge":10275,"discounted_cash":7706,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9761},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6887},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10275},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10275},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10686},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3944},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10275},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10275},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8528},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7912},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6314},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9248},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4022},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10275},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3905}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Or3 Nurse 46-75","code_information":[{"code":"3210225","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3870,"maximum":10591,"gross_charge":10184,"discounted_cash":7638,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9675},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10184},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10184},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10591},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3909},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10184},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10184},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7842},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6258},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3986},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10184},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3870}]}]},{"description":"Idarucizumab 5 Gm (2.5 Gm Vials)","code_information":[{"code":"4079151","type":"CDM"},{"code":"250","type":"RC"},{"code":"59701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3847,"maximum":10529,"gross_charge":10124,"discounted_cash":7593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9618},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6786},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3847},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3847},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10529},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7795},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3847},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6221},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3847},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3963},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3847}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lapilock Kit","code_information":[{"code":"3700530","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3844,"maximum":10521,"gross_charge":10116,"discounted_cash":7587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9610},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3844},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10521},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9610},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3883},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7789},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3844},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6216},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3844},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3844}]}]},{"description":"Plate/lapiplasty Speed 18x14mm","code_information":[{"code":"3700969","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3839,"maximum":10507,"gross_charge":10103,"discounted_cash":7577,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9598},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6772},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3839},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7092},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8359},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8385},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6208},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9093},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3839}]}]},{"description":"Pembrolizumab 100 Mg Vial (4 Ml)","code_information":[{"code":"4079149","type":"CDM"},{"code":"636","type":"RC"},{"code":"63026","type":"CPT","modifier":"2"}],"standard_charges":[{"setting":"outpatient","modifier_code":["2"],"minimum":3830,"maximum":10483,"gross_charge":10080,"discounted_cash":7560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9576},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6757},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10080},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10080},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7076},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10080},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10080},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8366},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6194},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10080},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3830}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Corail 2 Non Col Ho Sz-12 #L20312","code_information":[{"code":"3251576","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3808,"maximum":10421,"gross_charge":10020,"discounted_cash":7515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808}]}]},{"description":"Corail Amt Collar Sz11 #3l92501","code_information":[{"code":"3251155","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3808,"maximum":10421,"gross_charge":10020,"discounted_cash":7515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808}]}]},{"description":"Corail Standard Collar Sz11 #3l92503","code_information":[{"code":"3251501","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3808,"maximum":10421,"gross_charge":10020,"discounted_cash":7515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808}]}]},{"description":"Corail Standard Collar Sz12 #3l92502","code_information":[{"code":"3251551","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3808,"maximum":10421,"gross_charge":10020,"discounted_cash":7515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808}]}]},{"description":"Corail Stem & Collar #3l92505","code_information":[{"code":"3251503","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3808,"maximum":10421,"gross_charge":10020,"discounted_cash":7515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808}]}]},{"description":"Lat Fem Stem W/collar #3l93710","code_information":[{"code":"3251523","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3808,"maximum":10421,"gross_charge":10020,"discounted_cash":7515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808}]}]},{"description":"Shaving of shoulder bone using endoscope","code_information":[{"code":"CP17543256209707255","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29826","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3786,"maximum":10360,"gross_charge":9962,"discounted_cash":7472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3786},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9962},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9962},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6993},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9962},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9962},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8268},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6122},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8966},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9962},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3786}]}]},{"description":"Staple Dynanite Niti 15x15","code_information":[{"code":"3700498","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3770,"maximum":10318,"gross_charge":9921,"discounted_cash":7441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6650},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6965},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8929},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770}]}]},{"description":"Staple Dynanite Niti 18x15","code_information":[{"code":"3700506","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3770,"maximum":10318,"gross_charge":9921,"discounted_cash":7441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6650},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6965},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8929},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9921},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770}]}]},{"description":"Comp/femoral Sz-18 #7130-6118","code_information":[{"code":"3257722","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3756,"maximum":10278,"gross_charge":9883,"discounted_cash":7412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6625},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3756},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3756},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9883},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9883},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6938},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9389},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3793},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9883},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9883},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7610},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3756},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8895},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3756},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3868},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9883},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3756}]}]},{"description":"Or3 Nurse 76-90","code_information":[{"code":"3210226","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3746,"maximum":10253,"gross_charge":9859,"discounted_cash":7394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9366},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9859},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9859},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6921},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9859},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9859},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7591},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6058},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8873},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3859},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9859},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3746}]}]},{"description":"Panitumumab 400 Mg Vial","code_information":[{"code":"4078459","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513095601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":10183,"gross_charge":9791,"discounted_cash":7343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6563},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3721},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3721},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9791},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9791},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3758},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9791},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9791},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7539},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3721},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8812},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3721},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3832},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9791},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3721}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Darbepoetin 300 Mcg / 0.6 Ml","code_information":[{"code":"4078152","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513011101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":10142,"gross_charge":9752,"discounted_cash":7314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6537},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9752},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9752},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6846},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9264},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8069},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3743},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9752},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9752},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8094},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7509},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8777},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3817},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9752},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3706}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Shell Redapt Modular 60mm","code_information":[{"code":"3700902","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3696,"maximum":10116,"gross_charge":9727,"discounted_cash":7295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9241},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6828},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8048},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8073},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7490},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8754},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3807},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696}]}]},{"description":"Shell Redapt Modular 62mm","code_information":[{"code":"3700658","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3696,"maximum":10116,"gross_charge":9727,"discounted_cash":7295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9241},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6828},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8048},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8073},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7490},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8754},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3807},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696}]}]},{"description":"Rituximab-pvvr 500 Mg Vial","code_information":[{"code":"4070057","type":"CDM"},{"code":"636","type":"RC"},{"code":"69024","type":"CPT","modifier":"901"}],"standard_charges":[{"setting":"outpatient","modifier_code":["901"],"minimum":3689,"maximum":10095,"gross_charge":9707,"discounted_cash":7280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3689},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10095},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6814},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8032},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3726},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8057},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3689},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5965},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8736},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3689},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3689}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Nail Fusion 11.5mmx20cm Hind Ft Lt","code_information":[{"code":"3700254","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3653,"maximum":9999,"gross_charge":9614,"discounted_cash":7211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3653},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3653},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9614},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9614},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9999},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7955},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9614},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9614},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7980},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3653},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5908},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8653},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3653},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3763},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9614},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3653}]}]},{"description":"Comp/femoral Sz-9 #7130-6109","code_information":[{"code":"3257716","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3643,"maximum":9969,"gross_charge":9586,"discounted_cash":7190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6425},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3643},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3643},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9969},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6729},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3679},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7956},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7381},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3643},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5891},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8627},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3643},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3752},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3643}]}]},{"description":"Plate Evos 2.7/3.5 6h Tibia M-d L","code_information":[{"code":"3700877","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3632,"maximum":9940,"gross_charge":9558,"discounted_cash":7169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9080},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6407},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9558},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9558},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9080},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3668},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9558},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9558},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7933},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7360},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5873},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8602},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3741},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9558},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3632}]}]},{"description":"Immune Globulin (Gamunex) 40 Gram","code_information":[{"code":"4078997","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533080040","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":9903,"gross_charge":9522,"discounted_cash":7142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9046},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3618},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3618},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9522},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9522},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9903},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6684},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7879},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9522},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9522},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7903},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7332},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3618},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8570},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3618},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3727},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9522},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3618}]}],"drug_information":{"unit":40,"type":"GR"}},{"description":"Wedge Biosync Evans 18x18x10mm","code_information":[{"code":"3700486","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3607,"maximum":9871,"gross_charge":9491,"discounted_cash":7118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9016},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9491},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9491},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9871},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6663},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9016},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7853},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3643},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9491},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9491},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7878},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7308},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5832},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9491},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3607}]}]},{"description":"Or2 Nurse 76-90","code_information":[{"code":"3210215","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3578,"maximum":9794,"gross_charge":9417,"discounted_cash":7063,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8946},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9417},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9417},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9794},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9417},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9417},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7816},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7251},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5787},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9417},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3578}]}]},{"description":"Plate Evos 2.7/3.5 3h Tibia M-d L","code_information":[{"code":"3700878","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3499,"maximum":9576,"gross_charge":9208,"discounted_cash":6906,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3499},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8748},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7619},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3534},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7643},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3499},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5658},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3499},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3499}]}]},{"description":"Leuprolide Depot 11.25mg Injection","code_information":[{"code":"4070190","type":"CDM"},{"code":"636","type":"RC"},{"code":"74366","type":"CPT","modifier":"303"}],"standard_charges":[{"setting":"outpatient","modifier_code":["303"],"minimum":3481,"maximum":9527,"gross_charge":9161,"discounted_cash":6871,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8703},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6431},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3516},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7054},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5629},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3586},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481}]}],"drug_information":{"unit":1125,"type":"ME"}},{"description":"Pemetrexed 500 Mg Vial","code_information":[{"code":"4077746","type":"CDM"},{"code":"636","type":"RC"},{"code":"27623","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":3481,"maximum":9526,"gross_charge":9160,"discounted_cash":6870,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8702},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9526},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8702},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3516},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7053},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5629},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3585},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3481}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Dermapure 7cmx10cm","code_information":[{"code":"3700794","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4152","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3450,"maximum":9441,"gross_charge":9078,"discounted_cash":6809,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6085},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9078},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9078},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3484},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9078},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9078},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6990},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5578},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8170},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3553},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9078},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3450}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Puraply Xt 4.91x4.91 Cm","code_information":[{"code":"32510003","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4197","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3351,"maximum":9172,"gross_charge":8819,"discounted_cash":6614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5911},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3351},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3351},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8819},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8819},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3385},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8819},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8819},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6791},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3351},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5419},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7937},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3351},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3452},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8819},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3351}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Viaflow 2.0cc","code_information":[{"code":"3700242","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4100","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3341,"maximum":9145,"gross_charge":8793,"discounted_cash":6595,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5894},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3341},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8353},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6771},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3341},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5403},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3341},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3442},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8793},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3341}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Comp/fem Sz-6 Rt #7142-1226","code_information":[{"code":"3259939","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-5 Lft #7142-1215","code_information":[{"code":"3250175","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-5 Rt #7142-1205","code_information":[{"code":"3250861","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-5 Rt #7142-1225","code_information":[{"code":"3259648","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-5lft #7142-1235","code_information":[{"code":"3259647","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-6lft #7142-1236","code_information":[{"code":"3259839","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-6n Rt #7142-1276","code_information":[{"code":"3251862","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-7 Rt #7142-1207","code_information":[{"code":"3259199","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-7 Rt #7142-1227","code_information":[{"code":"3250136","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-7lft #7142-1237","code_information":[{"code":"3259624","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Comp/fem Sz-8lft #7142-1238","code_information":[{"code":"3250791","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Legion Narrow Cr Oxin Sz 5n Rt","code_information":[{"code":"3251793","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Femoral Component Size 4 Right","code_information":[{"code":"3700033","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3331,"maximum":9116,"gross_charge":8765,"discounted_cash":6574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5386},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3331}]}]},{"description":"Evolve R Head 24mm","code_information":[{"code":"3700182","type":"CDM"},{"code":"274","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3314,"maximum":9069,"gross_charge":8720,"discounted_cash":6540,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5845},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3314},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3314},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8720},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8720},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9069},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8284},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3347},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8720},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8720},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7238},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6714},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3314},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5358},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3314},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8720},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3314}]}]},{"description":"Head/humeral Standard 44 X 15mm","code_information":[{"code":"3251965","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3305,"maximum":9046,"gross_charge":8698,"discounted_cash":6524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5830},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3305},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8698},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8698},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9046},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8698},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8698},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6697},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3305},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5345},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3305},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8698},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3305}]}]},{"description":"Plate Maxforce Mtp Petite 0-0 Right","code_information":[{"code":"3700239","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3277,"maximum":8969,"gross_charge":8624,"discounted_cash":6468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8969},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6054},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6640},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5299},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7762},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277}]}]},{"description":"Plate Maxforce Mtp Petite 0-0,left","code_information":[{"code":"3700328","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3277,"maximum":8969,"gross_charge":8624,"discounted_cash":6468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8969},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6054},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6640},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5299},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7762},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3277}]}]},{"description":"Ixabepilone 45 Mg Vial","code_information":[{"code":"4077979","type":"CDM"},{"code":"636","type":"RC"},{"code":"70020191101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":8930,"gross_charge":8587,"discounted_cash":6440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5756},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8587},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8587},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8930},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6028},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3296},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8587},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8587},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6612},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7728},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8587},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263}]}],"drug_information":{"unit":45,"type":"ME"}},{"description":"Acessa Handpiece & Pad","code_information":[{"code":"3700642","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3252,"maximum":8901,"gross_charge":8559,"discounted_cash":6419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5737},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3252},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8559},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8559},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8901},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6008},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8559},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8559},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6590},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3252},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5260},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3252},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3350},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8559},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3252}]}]},{"description":"Tibia Wedge Sz5-6 #7142-3039","code_information":[{"code":"3251562","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3231,"maximum":8842,"gross_charge":8502,"discounted_cash":6377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5699},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5968},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7057},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5224},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7652},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3231}]}]},{"description":"Conceal Reservoir","code_information":[{"code":"3700384","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1813","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3218,"maximum":8808,"gross_charge":8469,"discounted_cash":6352,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8046},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5677},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3218},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5945},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7029},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6521},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3218},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5204},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3218},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3218}]}]},{"description":"Comp/fem Sz-3 Rt #7142-1223","code_information":[{"code":"3250874","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3203,"maximum":8765,"gross_charge":8428,"discounted_cash":6321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8007},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5649},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5916},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6973},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6995},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6490},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5179},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7585},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203}]}]},{"description":"Comp/fem Sz-4 Rt #7142-1204","code_information":[{"code":"3250341","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3203,"maximum":8765,"gross_charge":8428,"discounted_cash":6321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8007},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5649},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5916},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6973},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6995},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6490},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5179},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7585},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203}]}]},{"description":"Comp/fem Sz-6n Rt #7142-1256","code_information":[{"code":"3251082","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3203,"maximum":8765,"gross_charge":8428,"discounted_cash":6321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8007},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5649},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8765},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5916},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6973},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6995},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6490},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5179},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7585},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3203}]}]},{"description":"Trastuzumab-anns 420 Mg Vial","code_information":[{"code":"4070106","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513013201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":8756,"gross_charge":8419,"discounted_cash":6314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7998},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8419},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8419},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8756},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5910},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8419},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8419},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6988},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7577},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3295},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8419},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3199}]}],"drug_information":{"unit":420,"type":"ME"}},{"description":"Graftjacket Now Std 2x4cm","code_information":[{"code":"3700257","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4107","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3197,"maximum":8751,"gross_charge":8414,"discounted_cash":6311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7993},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5640},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8414},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8414},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8751},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5907},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8414},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8414},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6984},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6479},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5170},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7573},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3293},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8414},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3197}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dupilumab 300 Mg/2 Ml Syringe","code_information":[{"code":"4070245","type":"CDM"},{"code":"250","type":"RC"},{"code":"24591","type":"CPT","modifier":"401"}],"standard_charges":[{"setting":"outpatient","modifier_code":["401"],"minimum":3187,"maximum":8721,"gross_charge":8386,"discounted_cash":6290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5621},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8386},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8386},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8386},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8386},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6960},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6457},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5153},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3282},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8386},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3187}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Removal of gallbladder using an endoscope","code_information":[{"code":"CP17543256209714565","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"47562","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3151,"maximum":8624,"gross_charge":8292,"discounted_cash":6219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7877},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5558},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8292},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8292},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8624},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7877},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6861},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3182},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8292},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8292},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6385},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5095},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8292},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3151}]}]},{"description":"Octreotide Acetate 30 Mg Depot","code_information":[{"code":"4079218","type":"CDM"},{"code":"636","type":"RC"},{"code":"78064","type":"CPT","modifier":"861"}],"standard_charges":[{"setting":"outpatient","modifier_code":["861"],"minimum":3137,"maximum":8584,"gross_charge":8254,"discounted_cash":6191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7841},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5533},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8584},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7841},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6829},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6851},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5072},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7429},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3137}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Brca1 Brca2 Genes Mayo","code_information":[{"code":"4017622","type":"CDM"},{"code":"300","type":"RC"},{"code":"81162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3122,"maximum":8544,"gross_charge":8215,"discounted_cash":6161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7804},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5767},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7804},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6818},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5048},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3122}]}]},{"description":"Staple Dynanite Niti 15x12","code_information":[{"code":"3700814","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3114,"maximum":8522,"gross_charge":8194,"discounted_cash":6146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5492},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8522},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5752},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6801},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6309},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5035},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7375},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114}]}]},{"description":"Staple Dynanite Niti 13x10","code_information":[{"code":"3700922","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3114,"maximum":8522,"gross_charge":8194,"discounted_cash":6146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5492},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8522},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5752},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6801},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6309},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5035},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7375},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3114}]}]},{"description":"Cornea Allograft","code_information":[{"code":"3255519","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3255519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3103,"maximum":8493,"gross_charge":8166,"discounted_cash":6125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7758},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5733},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6757},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6778},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6288},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5018},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3103}]}]},{"description":"Comp/femoral Sz-13 #7130-6613","code_information":[{"code":"3257726","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-15 #7130-6115","code_information":[{"code":"3257491","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-14 #7130-6114","code_information":[{"code":"3257540","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-16 #7130-6616","code_information":[{"code":"3257316","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-13 #7130-6113","code_information":[{"code":"3257720","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-15 #7130-6615","code_information":[{"code":"3257727","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-12 #7130-6112","code_information":[{"code":"3257719","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-12 #7130-6612","code_information":[{"code":"3257580","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-17 #7130-6117","code_information":[{"code":"3257721","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-11 #7130-6111","code_information":[{"code":"3257718","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-16 #7130-6116","code_information":[{"code":"3257385","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-9 #7130-6609","code_information":[{"code":"3257723","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-10 #7130-6610","code_information":[{"code":"3257724","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-11 #7130-6611","code_information":[{"code":"3257725","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-17 #7130-6617","code_information":[{"code":"3257337","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Comp/femoral Sz-14 #7130-6614","code_information":[{"code":"3257475","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3096,"maximum":8474,"gross_charge":8148,"discounted_cash":6111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6742},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3096}]}]},{"description":"Fem Posterior Sz2.5 Left #1960-68-500","code_information":[{"code":"3251142","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3085,"maximum":8444,"gross_charge":8119,"discounted_cash":6089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4989},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085}]}]},{"description":"Fem Posterior Sz4 Lft #1960-69-500","code_information":[{"code":"3251275","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3085,"maximum":8444,"gross_charge":8119,"discounted_cash":6089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4989},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085}]}]},{"description":"Fem Posterior Sz4 Rt #1960-74-500","code_information":[{"code":"3251158","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3085,"maximum":8444,"gross_charge":8119,"discounted_cash":6089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4989},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085}]}]},{"description":"Fem Posterior Sz5 Left #1960-65-500","code_information":[{"code":"3251107","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3085,"maximum":8444,"gross_charge":8119,"discounted_cash":6089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4989},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085}]}]},{"description":"Fem Posterior Sz5 Rt #1960-75-500","code_information":[{"code":"3251283","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3085,"maximum":8444,"gross_charge":8119,"discounted_cash":6089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4989},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085}]}]},{"description":"Dermapure 4 X 6 Cm","code_information":[{"code":"3700512","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4152","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3085,"maximum":8443,"gross_charge":8118,"discounted_cash":6089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7712},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5441},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5699},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7712},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6717},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6738},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6251},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4989},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3085}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Mepolizumab 100 Mg Vial","code_information":[{"code":"4079163","type":"CDM"},{"code":"636","type":"RC"},{"code":"17308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3043,"maximum":8329,"gross_charge":8009,"discounted_cash":6007,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5368},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8009},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8009},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5622},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7609},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6627},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3074},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8009},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8009},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6647},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4922},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8009},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3043}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Plate Evos 2.7x35mm Humerus Pl-d","code_information":[{"code":"3700585","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3036,"maximum":8309,"gross_charge":7989,"discounted_cash":5992,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7590},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3036},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3036},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7989},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7989},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5608},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6610},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7989},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7989},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6631},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3036},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4909},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3036},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7989},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3036}]}]},{"description":"Ado-trastuzumab 100 Mg Vial","code_information":[{"code":"4079069","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242008801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":8302,"gross_charge":7983,"discounted_cash":5987,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7584},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3034},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5604},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3064},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6626},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7185},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3034}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Micromatrix Flex 5cc","code_information":[{"code":"3700855","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700855","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3033,"maximum":8301,"gross_charge":7982,"discounted_cash":5987,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7982},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7982},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8301},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5603},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7982},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7982},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6625},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7982},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3033}]}]},{"description":"Comp/fem Sz-6 Right #7193-3647","code_information":[{"code":"3251330","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2998,"maximum":8205,"gross_charge":7889,"discounted_cash":5917,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5288},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2998},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2998},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3028},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6548},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6075},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2998},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4848},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2998},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2998}]}]},{"description":"Fem Posterior Sz 2.5 Lft #1960-40-250","code_information":[{"code":"3251468","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2993,"maximum":8191,"gross_charge":7876,"discounted_cash":5907,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7482},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3023},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6537},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6065},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4840},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7088},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3083},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993}]}]},{"description":"Fem Posterior Sz 2.5 Rt #1960-50-250","code_information":[{"code":"3251327","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2993,"maximum":8191,"gross_charge":7876,"discounted_cash":5907,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7482},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3023},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6537},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6065},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4840},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7088},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3083},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993}]}]},{"description":"Fem Posterior Sz 3 Rt #1960-50-300","code_information":[{"code":"3251421","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2993,"maximum":8191,"gross_charge":7876,"discounted_cash":5907,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7482},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3023},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6537},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6065},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4840},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7088},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3083},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7876},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2993}]}]},{"description":"Fem Posterior Sz4 Rt #1960-50-450","code_information":[{"code":"3251454","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2992,"maximum":8189,"gross_charge":7874,"discounted_cash":5906,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7874},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7874},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5528},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3022},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7874},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7874},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6063},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4839},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7874},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2992}]}]},{"description":"Standard Lapidus Plate Right","code_information":[{"code":"3700201","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2981,"maximum":8160,"gross_charge":7846,"discounted_cash":5885,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7454},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7846},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7846},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5508},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7454},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7846},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7846},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6512},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6041},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4821},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7061},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7846},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2981}]}]},{"description":"Head/humeral Rt 40 #01.04227.405","code_information":[{"code":"3251022","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2964,"maximum":8113,"gross_charge":7801,"discounted_cash":5851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7801},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7801},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6455},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2994},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7801},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7801},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6475},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6007},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4794},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7021},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7801},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2964}]}]},{"description":"Comp/fem Sz-4 Lft #7142-1214","code_information":[{"code":"3251429","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2957,"maximum":8093,"gross_charge":7782,"discounted_cash":5837,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7782},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7782},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8093},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5463},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2987},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7782},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7782},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6459},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5992},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4782},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7004},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7782},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957}]}]},{"description":"Lapidus U Plate  Sb Left","code_information":[{"code":"3700433","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2957,"maximum":8092,"gross_charge":7781,"discounted_cash":5836,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7781},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7781},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5462},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2986},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7781},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7781},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6458},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4781},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3045},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7781},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957}]}]},{"description":"Plate Evos 2.7x35mm Humerus M-d","code_information":[{"code":"3700584","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2952,"maximum":8079,"gross_charge":7768,"discounted_cash":5826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2952},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2952},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7768},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7768},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8079},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7380},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7768},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7768},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5981},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2952},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4773},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6991},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2952},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3040},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7768},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2952}]}]},{"description":"Norian Drillabe Inject 10cc","code_information":[{"code":"3700065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2938,"maximum":8041,"gross_charge":7732,"discounted_cash":5799,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7732},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7732},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8041},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2968},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7732},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7732},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5954},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4751},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6959},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3026},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7732},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2938}]}]},{"description":"Fem Posterior Sz4n Lft #1960-40-450","code_information":[{"code":"3251372","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2934,"maximum":8030,"gross_charge":7721,"discounted_cash":5791,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7721},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7721},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8030},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5420},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2963},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7721},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7721},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5945},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4745},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3022},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7721},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2934}]}]},{"description":"Stem/pressfit St 15mm #7142-4048","code_information":[{"code":"3251563","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2920,"maximum":7991,"gross_charge":7684,"discounted_cash":5763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7684},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7684},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5394},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2949},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7684},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7684},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5917},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3008},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7684},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2920}]}]},{"description":"Or1 Nurse 241-300","code_information":[{"code":"3210209","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2908,"maximum":7959,"gross_charge":7653,"discounted_cash":5740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7653},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7653},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7959},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5372},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2937},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7653},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7653},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6352},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5893},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4703},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6888},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2995},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7653},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2908}]}]},{"description":"Baseplate Tibial Sz-6 Lft","code_information":[{"code":"3250541","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2879,"maximum":7880,"gross_charge":7577,"discounted_cash":5683,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7198},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5079},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7577},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7577},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7880},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7577},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7577},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6289},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5834},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6819},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2966},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7577},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2879}]}]},{"description":"Anchor Dx Knotless Implant Kit","code_information":[{"code":"3700894","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2875,"maximum":7869,"gross_charge":7566,"discounted_cash":5675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5071},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2875},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2875},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7869},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5311},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6280},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5826},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2875},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4649},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2875},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2961},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2875}]}]},{"description":"Nivolumab 100 Mg / 10 Ml Vial","code_information":[{"code":"4079094","type":"CDM"},{"code":"636","type":"RC"},{"code":"33774","type":"CPT","modifier":"12"}],"standard_charges":[{"setting":"outpatient","modifier_code":["12"],"minimum":2868,"maximum":7849,"gross_charge":7547,"discounted_cash":5660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5059},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7547},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7547},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7849},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2897},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7547},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7547},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5811},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2954},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7547},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2868}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Stem/legion 16mmx120mm #7142-4027","code_information":[{"code":"3250546","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2842,"maximum":7779,"gross_charge":7480,"discounted_cash":5610,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5014},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7779},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5251},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5760},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4596},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7480},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2842}]}]},{"description":"Nail Tibial 8.5mmx36cm","code_information":[{"code":"3700670","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2829,"maximum":7743,"gross_charge":7445,"discounted_cash":5584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7073},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4990},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5733},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4575},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6701},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829}]}]},{"description":"Nail/meta Tibial 10mmx32cm","code_information":[{"code":"3700742","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2829,"maximum":7743,"gross_charge":7445,"discounted_cash":5584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7073},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4990},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5733},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4575},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6701},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7445},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2829}]}]},{"description":"Bendamustine 100 Mg / 4 Ml Inj (Bendeka)","code_information":[{"code":"4078072","type":"CDM"},{"code":"636","type":"RC"},{"code":"63459034804","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":7718,"gross_charge":7421,"discounted_cash":5566,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7050},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4974},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7421},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7421},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7718},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5210},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7050},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2848},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7421},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7421},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6679},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2905},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7421},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2820}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Plate Maxforce Mtp Petite 5-5 Lt","code_information":[{"code":"32510024","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2809,"maximum":7689,"gross_charge":7393,"discounted_cash":5545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7023},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2837},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5693},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4543},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6654},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7393},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2809}]}]},{"description":"Head/fem Oxinium 14/16 #7134-2320","code_information":[{"code":"3251222","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2804,"maximum":7673,"gross_charge":7378,"discounted_cash":5534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7009},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4945},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7378},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7378},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7673},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7378},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7378},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5681},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4534},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6640},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7378},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2804}]}]},{"description":"Meta-nail Tibia 8.5mmx34cm","code_information":[{"code":"3700789","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2799,"maximum":7660,"gross_charge":7365,"discounted_cash":5524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4526},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799}]}]},{"description":"Meta-nail Tibia 8.5mmx33cm","code_information":[{"code":"3700927","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2799,"maximum":7660,"gross_charge":7365,"discounted_cash":5524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4526},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799}]}]},{"description":"Nail/meta Tibial 10mm X 34cm","code_information":[{"code":"3700973","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2799,"maximum":7660,"gross_charge":7365,"discounted_cash":5524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4526},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799}]}]},{"description":"Nail/meta Tibial 10mmx40cm","code_information":[{"code":"3700941","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2799,"maximum":7660,"gross_charge":7365,"discounted_cash":5524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4526},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799}]}]},{"description":"Nail/trigen #7165-5240","code_information":[{"code":"3250908","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2799,"maximum":7660,"gross_charge":7365,"discounted_cash":5524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4526},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799}]}]},{"description":"Allopure R Bicortical 8mm Evans","code_information":[{"code":"3700200","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1762","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2789,"maximum":7634,"gross_charge":7340,"discounted_cash":5505,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6973},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6973},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6092},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5652},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4510},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2873},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2789}]}]},{"description":"Denosumab 60 Mg Syringe","code_information":[{"code":"4078250","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513071001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":7586,"gross_charge":7294,"discounted_cash":5471,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6929},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7294},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7294},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7586},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6929},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7294},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7294},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6054},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5616},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6565},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7294},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2772}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Doxorubicin Liposomal (Doxil): 50mg Vial","code_information":[{"code":"4077415","type":"CDM"},{"code":"636","type":"RC"},{"code":"47335005040","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":7569,"gross_charge":7278,"discounted_cash":5459,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6914},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4878},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7278},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7278},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6914},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6022},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2793},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7278},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7278},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6041},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5604},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6550},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2849},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7278},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2766}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Platform/tibial Tray Sz-2 #1294-33-120","code_information":[{"code":"3251467","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2765,"maximum":7566,"gross_charge":7275,"discounted_cash":5456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4876},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6019},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6548},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2765}]}]},{"description":"Platform/tibial Tray Sz-2.5 #1294-33-125","code_information":[{"code":"3251426","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2765,"maximum":7566,"gross_charge":7275,"discounted_cash":5456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4876},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7566},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6019},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6548},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7275},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2765}]}]},{"description":"Immune Globulin (Gamunex) 20 Gram","code_information":[{"code":"4078133","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533080024","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":7505,"gross_charge":7216,"discounted_cash":5412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6855},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4837},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5066},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5971},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5989},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5556},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6494},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2742}]}],"drug_information":{"unit":20,"type":"GR"}},{"description":"Nail Humeral 9/7.5mmx26cm","code_information":[{"code":"3700888","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2731,"maximum":7474,"gross_charge":7187,"discounted_cash":5390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6828},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5045},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5965},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731}]}]},{"description":"Nail/humeral 9/7.5mmx22cm","code_information":[{"code":"3700988","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2731,"maximum":7474,"gross_charge":7187,"discounted_cash":5390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6828},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5045},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5965},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731}]}]},{"description":"Nail/meta Retro Fen 10x36","code_information":[{"code":"3252007","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2707,"maximum":7408,"gross_charge":7123,"discounted_cash":5342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6767},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7408},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6767},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5485},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6411},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2788},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2707}]}]},{"description":"Gammagard Liq 10% 20gm","code_information":[{"code":"4070231","type":"CDM"},{"code":"636","type":"RC"},{"code":"94427","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2700,"maximum":7388,"gross_charge":7104,"discounted_cash":5328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4762},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2700},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4987},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5896},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4365},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2700}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Epiphysis Body Porocoat Sz 10 +0","code_information":[{"code":"3251968","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2694,"maximum":7373,"gross_charge":7089,"discounted_cash":5317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6735},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4752},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2694},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2694},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7089},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7089},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4976},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6735},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5865},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2721},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7089},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7089},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5884},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5459},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2694},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4356},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6380},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2694},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2775},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7089},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2694}]}]},{"description":"Stem/cement Lgn 14mmx120mm #7142-4186","code_information":[{"code":"3250388","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2692,"maximum":7368,"gross_charge":7085,"discounted_cash":5314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6731},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4749},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7085},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7085},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4974},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5862},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7085},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7085},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5881},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4354},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2773},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7085},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692}]}]},{"description":"Or2 Nurse 46-75","code_information":[{"code":"3210214","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2684,"maximum":7346,"gross_charge":7063,"discounted_cash":5297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4734},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4958},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5844},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5862},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5439},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4340},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684}]}]},{"description":"Evolve Triad Rhp 20mm 4920h020","code_information":[{"code":"3700070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2662,"maximum":7286,"gross_charge":7006,"discounted_cash":5255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4696},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7006},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7006},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7286},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4918},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7006},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7006},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5815},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5395},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4305},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7006},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2662}]}]},{"description":"Somagen Meshed 6.0x8.0 Cm","code_information":[{"code":"3700361","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1762","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2656,"maximum":7269,"gross_charge":6989,"discounted_cash":5242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6640},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4685},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6989},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6989},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4906},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5783},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6989},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6989},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5801},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2735},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6989},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2656}]}]},{"description":"Nail Meta-tan 11.5mm X 34cm Right","code_information":[{"code":"3700549","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2643,"maximum":7234,"gross_charge":6956,"discounted_cash":5217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4663},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4883},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4274},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643}]}]},{"description":"Nail/meta-tan 11.5mm X 38cm","code_information":[{"code":"3700931","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2643,"maximum":7234,"gross_charge":6956,"discounted_cash":5217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4663},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4883},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4274},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6956},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643}]}]},{"description":"Graft Stravix 3x6cm","code_information":[{"code":"3700862","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4133","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2617,"maximum":7164,"gross_charge":6888,"discounted_cash":5166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6544},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4617},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6888},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6888},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4835},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6888},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6888},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5717},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4233},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6888},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Carfilzomib 60 Mg Vial","code_information":[{"code":"4079131","type":"CDM"},{"code":"636","type":"RC"},{"code":"76075010101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":7132,"gross_charge":6858,"discounted_cash":5144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6515},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4597},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2606},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6858},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6858},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4814},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6858},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6858},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5281},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6172},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6858},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2606}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Plate Evos 2.7/3.5 L-d 7h Fibula R","code_information":[{"code":"3700868","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":7122,"gross_charge":6848,"discounted_cash":5136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4590},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6848},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6848},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4807},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2628},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6848},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6848},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5684},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4208},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2680},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6848},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602}]}]},{"description":"Bortezomib 3.5 Mg Inj","code_information":[{"code":"4077594","type":"CDM"},{"code":"636","type":"RC"},{"code":"63020004901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":7002,"gross_charge":6733,"discounted_cash":5050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6396},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7002},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4727},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5571},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2584},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5588},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6060},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2635},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2559}]}],"drug_information":{"unit":35,"type":"ME"}},{"description":"Comp/fem Sz-15 #7131-6215","code_information":[{"code":"3251249","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Comp/fem Size 10","code_information":[{"code":"3252134","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Comp/fem Sz-11","code_information":[{"code":"3252132","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Comp/fem Sz-11 #7131-6011","code_information":[{"code":"3251118","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Comp/fem Sz-12","code_information":[{"code":"3251396","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Comp/fem Sz-13 #7131--6213","code_information":[{"code":"3251790","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Comp/fem Sz-14#7131-6214","code_information":[{"code":"3251361","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2549,"maximum":6977,"gross_charge":6709,"discounted_cash":5032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6977},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5568},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2549}]}]},{"description":"Denosumab 120 Mg Vial","code_information":[{"code":"4078269","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513073001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6912,"gross_charge":6646,"discounted_cash":4985,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4455},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6646},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6646},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6912},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4665},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5499},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6646},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6646},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5516},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5981},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2601},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6646},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Fem Posterior Sz4 Lft #1960-64-500","code_information":[{"code":"3251159","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2517,"maximum":6889,"gross_charge":6624,"discounted_cash":4968,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6889},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5481},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5498},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4070},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5962},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517}]}]},{"description":"Fem Posterior Sz5 Rt #1960-50-500","code_information":[{"code":"3251529","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2517,"maximum":6889,"gross_charge":6624,"discounted_cash":4968,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6889},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5481},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5498},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4070},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5962},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2517}]}]},{"description":"Tibial Wedge Screw On 5mm Sz 3-4","code_information":[{"code":"3251974","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2511,"maximum":6871,"gross_charge":6607,"discounted_cash":4955,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4429},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6607},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6607},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6871},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6607},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6607},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5484},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5087},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4060},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2511},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6607},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2511}]}]},{"description":"Pinn Sector W/gription 54mm #1217-32-054","code_information":[{"code":"3251377","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2497,"maximum":6833,"gross_charge":6570,"discounted_cash":4928,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6570},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6570},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6833},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6570},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6570},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5059},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4037},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6570},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2497}]}]},{"description":"Tfna/11mm X 400mm Right Long","code_information":[{"code":"3700207","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2489,"maximum":6813,"gross_charge":6551,"discounted_cash":4913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4391},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6813},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4599},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5044},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5896},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2564},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489}]}]},{"description":"Tfna 11mm X 360 Mm Left","code_information":[{"code":"3700953","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2489,"maximum":6813,"gross_charge":6551,"discounted_cash":4913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4391},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6813},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4599},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5044},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5896},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2564},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489}]}]},{"description":"Tfna 11mm X 420 Mm Left","code_information":[{"code":"3700951","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2489,"maximum":6813,"gross_charge":6551,"discounted_cash":4913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4391},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6813},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4599},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5044},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5896},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2564},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489}]}]},{"description":"Tfna/nail 11mm X 340, 130 Deg, Left","code_information":[{"code":"3700835","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2489,"maximum":6812,"gross_charge":6550,"discounted_cash":4913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6550},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6550},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6812},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4598},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6550},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6550},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5044},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4025},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5895},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2564},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6550},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2489}]}]},{"description":"Comp/fem Sz-5 Left #7193-3650","code_information":[{"code":"3251807","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2473,"maximum":6768,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6768},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3999},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Comp/fem Sz-5 Rt #7193-3654","code_information":[{"code":"3251913","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2473,"maximum":6768,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6768},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3999},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Comp/fem Sz-4 Left #7193-3649","code_information":[{"code":"3251886","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2473,"maximum":6768,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6768},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3999},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Comp/fem Sz-4 Right #7193-3653","code_information":[{"code":"3251767","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2473,"maximum":6768,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6768},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3999},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Comp/fem Sz-6 Rt","code_information":[{"code":"3251935","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2473,"maximum":6768,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6768},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3999},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Darbepoetin 200 Mcg / 0.4 Ml","code_information":[{"code":"4078153","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513002801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6762,"gross_charge":6502,"discounted_cash":4877,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4358},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6762},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4564},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5380},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2495},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5397},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5007},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5852},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2471}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Htube Implant Kit 2.75mm 0 Deg","code_information":[{"code":"3700982","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8641","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2459,"maximum":6730,"gross_charge":6471,"discounted_cash":4853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2484},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5371},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4983},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3976},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5824},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459}]}]},{"description":"Htube Implant Kit 2.75mm 10 Deg","code_information":[{"code":"3700999","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8641","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2459,"maximum":6730,"gross_charge":6471,"discounted_cash":4853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2484},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5371},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4983},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3976},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5824},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6471},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2459}]}]},{"description":"Ib Kit,bc W/cc Ft And Jumpstart","code_information":[{"code":"3700346","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2456,"maximum":6723,"gross_charge":6464,"discounted_cash":4848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4333},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4977},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5818},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456}]}]},{"description":"Staple Dynanite Niti 9x10","code_information":[{"code":"3700468","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2456,"maximum":6723,"gross_charge":6464,"discounted_cash":4848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4333},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4977},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5818},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2456}]}]},{"description":"Tfna Nail 11mm/130 Deg, 320 Mm (Long)","code_information":[{"code":"3251841","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Tfna 11mm X 380mm Left","code_information":[{"code":"3700448","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Tfna 11mm/130deg 360mm Right","code_information":[{"code":"32510004","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Nail Tfna Long 11mm/130 Deg 380mm Rt","code_information":[{"code":"32510019","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Tfna 11 Mmx130 Deg, 400 Mm, Left","code_information":[{"code":"3700364","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Tfna/nail 11mm X 320, 130 Deg, Left","code_information":[{"code":"3700400","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Tfna 11mm X 420 Mm Right-long","code_information":[{"code":"3252049","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":6712,"gross_charge":6454,"discounted_cash":4841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4970},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3966},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453}]}]},{"description":"Romiplostim 125mcg","code_information":[{"code":"4070083","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513022301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6673,"gross_charge":6416,"discounted_cash":4812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6095},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4301},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6673},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6095},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5325},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4940},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5774},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2438}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Daratumumab 400 Mg Vial","code_information":[{"code":"4070040","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894050220","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6622,"gross_charge":6367,"discounted_cash":4775,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6049},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6622},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5268},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5285},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4903},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5730},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2419}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Plate/evos 2.7x3.5mm 5 Hole-rt Dist Fib","code_information":[{"code":"3700681","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2415,"maximum":6609,"gross_charge":6355,"discounted_cash":4766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6037},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4260},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2415},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6609},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6037},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2415},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2415},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2487},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2415}]}]},{"description":"Plate Evos 3.5mm 6h 96mm P-d Tibia Lt","code_information":[{"code":"3700686","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2405,"maximum":6582,"gross_charge":6329,"discounted_cash":4747,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6013},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4242},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2405},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4443},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6013},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4873},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3889},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2405}]}]},{"description":"Mesh/tela Bio 10x12","code_information":[{"code":"3258868","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2398,"maximum":6563,"gross_charge":6311,"discounted_cash":4733,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5995},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4230},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2398},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2398},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6311},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6311},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5995},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2422},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6311},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6311},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5238},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2398},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2398},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6311},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2398}]}]},{"description":"Fem Posterior Sz4 Lft #1960-40-400","code_information":[{"code":"3251324","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2394,"maximum":6552,"gross_charge":6300,"discounted_cash":4725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5985},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6552},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394}]}]},{"description":"Fem Posterior Sz4 Lft #1960-50-400","code_information":[{"code":"3251353","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2394,"maximum":6552,"gross_charge":6300,"discounted_cash":4725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5985},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6552},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394}]}]},{"description":"Fem Posterior Sz5 Lft #1960-40-500","code_information":[{"code":"3251528","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2394,"maximum":6552,"gross_charge":6300,"discounted_cash":4725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5985},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6552},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6300},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394}]}]},{"description":"Fem Posterior Sz4 Lft #1960-40-300","code_information":[{"code":"3251493","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2394,"maximum":6551,"gross_charge":6299,"discounted_cash":4724,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5984},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4222},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6299},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6299},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4422},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5984},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6299},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6299},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5228},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5669},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6299},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2394}]}]},{"description":"Comp/femeral 8r #7142-3238","code_information":[{"code":"3251539","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2382,"maximum":6520,"gross_charge":6269,"discounted_cash":4702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5956},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4401},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5956},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4827},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3852},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5642},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2382}]}]},{"description":"Legion Ps Np Narrow Fem Sz 3rt","code_information":[{"code":"3700112","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2378,"maximum":6508,"gross_charge":6258,"discounted_cash":4694,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4393},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2402},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2378}]}]},{"description":"Comp/fem Co-cr & Pmma #7131-6013","code_information":[{"code":"3251086","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2372,"maximum":6493,"gross_charge":6243,"discounted_cash":4682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5931},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4185},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4807},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3836},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5619},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2372}]}]},{"description":"Dilation Kit/optilume 30 Fr X 3 Cm","code_information":[{"code":"3700556","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2361,"maximum":6460,"gross_charge":6212,"discounted_cash":4659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6460},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2384},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4783},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3817},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2361}]}]},{"description":"Wilson Disease Full Gene Sequencing  May","code_information":[{"code":"4017734","type":"CDM"},{"code":"300","type":"RC"},{"code":"82105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2325,"maximum":6363,"gross_charge":6118,"discounted_cash":4589,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5062},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5078},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4711},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5506},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2325}]}]},{"description":"Staple Nitinol 18x16","code_information":[{"code":"3700228","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2316,"maximum":6340,"gross_charge":6096,"discounted_cash":4572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5791},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6340},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5044},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5060},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4694},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5486},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2386},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2316}]}]},{"description":"Or1 Nurse 181=240","code_information":[{"code":"3210208","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2315,"maximum":6337,"gross_charge":6093,"discounted_cash":4570,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5788},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4084},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6093},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6093},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6093},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6093},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5057},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4692},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3744},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6093},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2315}]}]},{"description":"Kit Invisiknot Ankle Fx","code_information":[{"code":"3700813","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2311,"maximum":6325,"gross_charge":6082,"discounted_cash":4562,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4077},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6082},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6082},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6325},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5032},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6082},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6082},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5048},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4683},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3737},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6082},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2311}]}]},{"description":"Nail Rfna 10mmx320mm","code_information":[{"code":"3700741","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2310,"maximum":6322,"gross_charge":6079,"discounted_cash":4559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5775},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4075},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2310},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5046},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4681},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3736},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5471},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2379},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Head/humeral 17mmx46mm #4302-46-17","code_information":[{"code":"3251265","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2301,"maximum":6298,"gross_charge":6056,"discounted_cash":4542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5753},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4059},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2301},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6056},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6056},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6298},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4251},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5753},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5011},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6056},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6056},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5026},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4663},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2301},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3721},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5450},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2301},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2370},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6056},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2301}]}]},{"description":"Monoferric Inj 100 Mg / 1 Ml (10 Ml)","code_information":[{"code":"4070149","type":"CDM"},{"code":"636","type":"RC"},{"code":"73594931001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6240,"gross_charge":6000,"discounted_cash":4500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4022},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6000},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6000},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6240},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4212},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6000},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6000},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4980},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4620},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5400},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6000},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Head/femoral #7134-3203","code_information":[{"code":"3259077","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2277,"maximum":6232,"gross_charge":5992,"discounted_cash":4494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4016},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5992},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5992},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4206},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2300},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5992},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5992},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4973},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4614},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5393},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5992},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2277}]}]},{"description":"Nail/ti Cann Femoral 12mm 04.013.652s","code_information":[{"code":"3251248","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2271,"maximum":6214,"gross_charge":5975,"discounted_cash":4481,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4005},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5975},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5975},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5975},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5975},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4959},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4601},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5975},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2271}]}]},{"description":"Immune Globulin (Privigen) 10 Gram","code_information":[{"code":"4079076","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206043710","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6203,"gross_charge":5964,"discounted_cash":4473,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3998},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4950},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4592},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5368},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266}]}],"drug_information":{"unit":10,"type":"GR"}},{"description":"Comp/fem Sz-15 #7131-6015","code_information":[{"code":"3251452","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2263,"maximum":6193,"gross_charge":5955,"discounted_cash":4466,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5657},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4927},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4943},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4585},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2263}]}]},{"description":"Wound Matrix 3-layer 7x10cm","code_information":[{"code":"3700856","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4166","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2257,"maximum":6178,"gross_charge":5940,"discounted_cash":4455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3982},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5940},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5940},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5940},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5940},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4930},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4574},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3650},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5940},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2257}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nail/trochanteric 11.5mmx40cm #7164-7340","code_information":[{"code":"3259362","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2255,"maximum":6172,"gross_charge":5935,"discounted_cash":4451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5638},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3978},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5935},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5935},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5935},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5935},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4570},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3647},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5342},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5935},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255}]}]},{"description":"Nail/ti Cannula 11mm130/440 Mm, Tfna Lft","code_information":[{"code":"3251921","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2255,"maximum":6170,"gross_charge":5933,"discounted_cash":4450,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5933},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5933},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4909},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5933},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5933},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4924},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4568},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5340},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5933},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255}]}]},{"description":"Stem/pressfit St 18mm #7142-4051","code_information":[{"code":"3259238","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2250,"maximum":6158,"gross_charge":5921,"discounted_cash":4441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5625},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3969},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5625},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4914},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3638},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250}]}]},{"description":"Stem/legion 14mmx160mm #7142-4047","code_information":[{"code":"3250543","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2250,"maximum":6158,"gross_charge":5921,"discounted_cash":4441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5625},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3969},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5625},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4914},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3638},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250}]}]},{"description":"Stem/pressfit St 22mm #7142-4055","code_information":[{"code":"3251701","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2250,"maximum":6158,"gross_charge":5921,"discounted_cash":4441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5625},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3969},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5625},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4914},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3638},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5921},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250}]}]},{"description":"Coupler/offset 4mm Lgn #7142-4225","code_information":[{"code":"3250349","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2247,"maximum":6148,"gross_charge":5912,"discounted_cash":4434,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5616},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3963},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4892},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3633},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5321},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5912},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2247}]}]},{"description":"Plate Evos 3.5mm 3h 63mm P-d Tibia","code_information":[{"code":"3700879","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2242,"maximum":6137,"gross_charge":5901,"discounted_cash":4426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5606},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3955},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4898},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3626},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5901},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242}]}]},{"description":"Tray/tibial Fixed Bearing #1581-40-000","code_information":[{"code":"3251109","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2242,"maximum":6136,"gross_charge":5900,"discounted_cash":4425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5605},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3955},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5900},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5900},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4142},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5900},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5900},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4897},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4543},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3626},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2309},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5900},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242}]}]},{"description":"Plate/condylar Locking 4.5lcp #222.661","code_information":[{"code":"3250170","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2225,"maximum":6090,"gross_charge":5856,"discounted_cash":4392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5563},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2225},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6090},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5563},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4845},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4860},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4509},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3599},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5270},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2225}]}]},{"description":"Platform/tibial Tray Sz-5 #1294-33-150","code_information":[{"code":"3251292","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2212,"maximum":6054,"gross_charge":5821,"discounted_cash":4366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5530},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3902},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4816},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4831},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4482},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212}]}]},{"description":"Tray/tibial Sz4 Cemented  #1294-33-140","code_information":[{"code":"3251161","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2212,"maximum":6054,"gross_charge":5821,"discounted_cash":4366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5530},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3902},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4816},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4831},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4482},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5821},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2212}]}]},{"description":"Pegfilgrastim-jmdb 6 Mg Inj","code_information":[{"code":"4070165","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457083306","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":6037,"gross_charge":5805,"discounted_cash":4354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5515},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5805},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5805},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6037},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4075},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4803},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5805},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5805},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4818},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5225},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5805},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2206}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Lapidus Plate 2mm","code_information":[{"code":"3700191","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2204,"maximum":6032,"gross_charge":5800,"discounted_cash":4350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6032},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4072},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4814},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3564},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204}]}]},{"description":"Ortholoc Eps Olecranon Med","code_information":[{"code":"3252093","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3252093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2203,"maximum":6029,"gross_charge":5797,"discounted_cash":4348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5507},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6029},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4069},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4796},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4812},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4464},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2203}]}]},{"description":"Tray/tibial Sig Mod Cocr 2.5 #158125000","code_information":[{"code":"3251144","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2198,"maximum":6015,"gross_charge":5784,"discounted_cash":4338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3877},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5784},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5784},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6015},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4060},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4786},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5784},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5784},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4801},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3554},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5784},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198}]}]},{"description":"Femoral Component Sz 6 Left","code_information":[{"code":"3700455","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2196,"maximum":6009,"gross_charge":5778,"discounted_cash":4334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6009},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4056},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4781},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4796},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4449},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2196}]}]},{"description":"Tkr Comp Fem Narrow Sz 3 Lt","code_information":[{"code":"3700267","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2196,"maximum":6009,"gross_charge":5778,"discounted_cash":4334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6009},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4056},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4781},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4796},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4449},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2196}]}]},{"description":"Head/femoral #7134-3200","code_information":[{"code":"3258356","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3258356","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2189,"maximum":5991,"gross_charge":5761,"discounted_cash":4321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3862},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5473},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4767},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3540},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2189}]}]},{"description":"Removal of one or more breast growth, open procedure","code_information":[{"code":"CP17543256209690605","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"19120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2185,"maximum":5980,"gross_charge":5750,"discounted_cash":4313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3854},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5980},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4036},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3533},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185}]}]},{"description":"Removal of tonsils and adenoid glands, patient younger than age 12","code_information":[{"code":"CP17543256209712676","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"42820","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2185,"maximum":5980,"gross_charge":5750,"discounted_cash":4313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3854},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5980},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4036},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3533},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185}]}]},{"description":"Trastuzumab-anns 150 Mg Vial","code_information":[{"code":"4070050","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513014101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5940,"gross_charge":5712,"discounted_cash":4284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5426},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3829},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4741},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5141},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2171}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Plate Lapidus Sb Right","code_information":[{"code":"3700434","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2168,"maximum":5934,"gross_charge":5706,"discounted_cash":4280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5934},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168}]}]},{"description":"Plate Lapidus Straight","code_information":[{"code":"3700436","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2168,"maximum":5934,"gross_charge":5706,"discounted_cash":4280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5934},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168}]}]},{"description":"Staple Nitinol 10x10","code_information":[{"code":"3700198","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2168,"maximum":5934,"gross_charge":5706,"discounted_cash":4280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5934},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168}]}]},{"description":"Staple Nitinol 15x15","code_information":[{"code":"3700181","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700181","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2168,"maximum":5934,"gross_charge":5706,"discounted_cash":4280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5934},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168}]}]},{"description":"Or3 Nurse 31-45","code_information":[{"code":"3210224","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2168,"maximum":5932,"gross_charge":5704,"discounted_cash":4278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5419},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5704},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5704},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4004},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5704},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5704},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4734},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4392},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3505},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5704},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2168}]}]},{"description":"Programmer #3037","code_information":[{"code":"3259431","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259431","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2165,"maximum":5926,"gross_charge":5698,"discounted_cash":4274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5413},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3819},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5698},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5698},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5926},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4000},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5698},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5698},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5698},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165}]}]},{"description":"Leuprolide 22.5 Mg Syringe","code_information":[{"code":"4079016","type":"CDM"},{"code":"636","type":"RC"},{"code":"62935022305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5919,"gross_charge":5691,"discounted_cash":4268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5406},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3815},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5691},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5691},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5919},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3995},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5406},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5691},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5691},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4724},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5122},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5691},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2163}]}],"drug_information":{"unit":225,"type":"ME"}},{"description":"Plate/proximal Tibial Va 6h #02.127.220","code_information":[{"code":"3251200","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2144,"maximum":5867,"gross_charge":5641,"discounted_cash":4231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5641},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5641},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3960},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5641},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5641},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4682},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3466},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5077},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5641},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2144}]}]},{"description":"Nail/femoral Recon R 10x360 #04.003.352s","code_information":[{"code":"3250674","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2143,"maximum":5866,"gross_charge":5640,"discounted_cash":4230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3780},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5640},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5640},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5866},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3959},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5640},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5640},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3466},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5640},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2143}]}]},{"description":"Comp/fem Sz-5 Right #7193-3646","code_information":[{"code":"3251302","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 6r #7142-3236","code_information":[{"code":"3250276","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 6r #7142-3216","code_information":[{"code":"3259718","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 6lft #7142-3206","code_information":[{"code":"3250312","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 7lft #7142-3207","code_information":[{"code":"3259943","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 7rt #7142-3217","code_information":[{"code":"3259944","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Femoral/legion Ps Np Sz 6 Lft #7142-3226","code_information":[{"code":"3250386","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 5l #7142-3205","code_information":[{"code":"3259618","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 5r #7142-3215","code_information":[{"code":"3259652","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral4l #7142-3204","code_information":[{"code":"3259630","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/fem Sz-5 Left Narrow","code_information":[{"code":"3251192","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/fem Sz-4 Right #7193-3645","code_information":[{"code":"3251234","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/fem Sz-4 Left #7193-3641","code_information":[{"code":"3251221","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/fem Sz-6 Left #7193-3643","code_information":[{"code":"3251734","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 4r #7142-3214","code_information":[{"code":"3259629","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 3r #7142-3213","code_information":[{"code":"3259849","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 8 Left","code_information":[{"code":"3251940","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/fem Sz-3 Right #7193-3644","code_information":[{"code":"3252064","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 5l #7142-3224","code_information":[{"code":"3250066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Comp/femeral 8rt #7142-3218","code_information":[{"code":"3250296","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Cup/mallory #13-104052","code_information":[{"code":"3258996","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Post Stab Femoral Comp Size 4 Right","code_information":[{"code":"3700014","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2140,"maximum":5857,"gross_charge":5632,"discounted_cash":4224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Nail/t,cann Humeral 7mm #04.001.228s","code_information":[{"code":"3250183","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2138,"maximum":5852,"gross_charge":5627,"discounted_cash":4220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3772},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5852},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3950},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3458},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5064},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2202},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"Dalbavancin 500mg Inj","code_information":[{"code":"4070226","type":"CDM"},{"code":"636","type":"RC"},{"code":"57970010001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5812,"gross_charge":5588,"discounted_cash":4191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5588},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5588},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5812},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5588},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5588},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4303},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5029},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5588},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2123}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Nail/trigen #7165-5032","code_information":[{"code":"3250915","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2122,"maximum":5807,"gross_charge":5584,"discounted_cash":4188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5584},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5584},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5807},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3920},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4620},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5584},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5584},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4635},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5026},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5584},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2122}]}]},{"description":"Liner Or30 Dual Mobility 40/60","code_information":[{"code":"3700662","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2119,"maximum":5800,"gross_charge":5577,"discounted_cash":4183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5298},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3738},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4629},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5019},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119}]}]},{"description":"Liner Or30 Mobility 48/62","code_information":[{"code":"3700660","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2119,"maximum":5800,"gross_charge":5577,"discounted_cash":4183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5298},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3738},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4629},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5019},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5577},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119}]}]},{"description":"Head/humeral Lft 40 #01.04227.400","code_information":[{"code":"3251625","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2113,"maximum":5782,"gross_charge":5560,"discounted_cash":4170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5282},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5560},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5560},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5782},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4600},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5560},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5560},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4615},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3417},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5004},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5560},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2113}]}]},{"description":"Nail/trigen  Meta 8.5x30 #7165-5030","code_information":[{"code":"3250871","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2109,"maximum":5773,"gross_charge":5551,"discounted_cash":4163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3721},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5773},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3897},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2109}]}]},{"description":"Kit Min Invasive For Hardware Fj-2000","code_information":[{"code":"3700936","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2095,"maximum":5732,"gross_charge":5512,"discounted_cash":4134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4575},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4244},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3387},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4961},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095}]}]},{"description":"Tandem Unipolar 48mm","code_information":[{"code":"3701134","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2095,"maximum":5732,"gross_charge":5512,"discounted_cash":4134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4575},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4244},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3387},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4961},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5512},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095}]}]},{"description":"Plate-t Lcp 12 Hole Lft #239.917","code_information":[{"code":"3259743","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2090,"maximum":5720,"gross_charge":5500,"discounted_cash":4125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3687},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5720},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3861},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4565},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4235},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3380},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4950},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2090}]}]},{"description":"Nail Trochanteric Fixation Rt 11x330","code_information":[{"code":"3700091","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2075,"maximum":5679,"gross_charge":5461,"discounted_cash":4096,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3661},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2075},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5461},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5461},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3834},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4518},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5461},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5461},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4533},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3356},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5461},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2075}]}]},{"description":"Nail/femoral Recon  #04.003.452s","code_information":[{"code":"3250419","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2071,"maximum":5667,"gross_charge":5449,"discounted_cash":4087,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5449},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5449},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5449},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5449},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4523},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3348},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4904},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5449},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071}]}]},{"description":"Removal of polyps or growths of large bowel using an endoscope","code_information":[{"code":"CP17543256209711602","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2069,"maximum":5662,"gross_charge":5444,"discounted_cash":4083,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3649},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5662},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3822},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3345},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4900},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Endoscopy2 Nurse > 151","code_information":[{"code":"3280210","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2062,"maximum":5642,"gross_charge":5425,"discounted_cash":4069,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5154},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3636},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5425},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5425},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5642},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5425},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5425},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4503},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3334},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4883},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5425},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062}]}]},{"description":"Plate/4.5 Lcp Prox Fem 16h Rt","code_information":[{"code":"3251893","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2061,"maximum":5641,"gross_charge":5424,"discounted_cash":4068,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3636},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2061},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5424},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5424},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5641},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5424},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5424},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5424},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2061}]}]},{"description":"Comp/femeral 7r #7142-3237","code_information":[{"code":"3251557","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2058,"maximum":5632,"gross_charge":5415,"discounted_cash":4061,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3630},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2058},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058}]}]},{"description":"Comp/femeral Sz-3, Lft #7142-3223","code_information":[{"code":"3250728","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2058,"maximum":5632,"gross_charge":5415,"discounted_cash":4061,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3630},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2058},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058}]}]},{"description":"Comp/femeral 5l #7142-3225","code_information":[{"code":"3259761","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2058,"maximum":5632,"gross_charge":5415,"discounted_cash":4061,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3630},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2058},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058}]}]},{"description":"Comp/femeral 5r #7142-3235","code_information":[{"code":"3250309","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2058,"maximum":5632,"gross_charge":5415,"discounted_cash":4061,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3630},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2058},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058}]}]},{"description":"Legion Ps Np Femural Size 7 Left","code_information":[{"code":"3700133","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2054,"maximum":5621,"gross_charge":5405,"discounted_cash":4054,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3623},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2054},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5405},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5405},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5405},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5405},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3321},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5405},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054}]}]},{"description":"Wedge/screw On Sz-7-8 #7142-1808","code_information":[{"code":"3251702","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2052,"maximum":5615,"gross_charge":5399,"discounted_cash":4049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5129},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3619},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2052},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5399},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5399},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5399},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5399},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4481},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5399},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052}]}]},{"description":"Bevacizamab-bvzr 400 Mg / 16 Ml","code_information":[{"code":"4070145","type":"CDM"},{"code":"636","type":"RC"},{"code":"69034","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":2046,"maximum":5599,"gross_charge":5384,"discounted_cash":4038,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3609},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2046},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5384},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5384},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5599},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3780},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4455},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5384},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5384},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4469},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4846},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5384},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2046}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Plate Evos 7h Fibula-rt","code_information":[{"code":"3700649","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2025,"maximum":5543,"gross_charge":5330,"discounted_cash":3998,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5064},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3573},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5330},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5330},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5543},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3742},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5064},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5330},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5330},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4424},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3275},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4797},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5330},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025}]}]},{"description":"Ct Abd And Pelvis W Wo","code_information":[{"code":"4050012-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74178","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":2016,"maximum":5517,"gross_charge":5305,"discounted_cash":3979,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5040},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3556},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":2016},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3724},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4389},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4085},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3260},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2016}]}]},{"description":"CT scan of abdomen and pelvis with contrast","code_information":[{"code":"4050011-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"74177","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":2000,"maximum":5472,"gross_charge":5262,"discounted_cash":3947,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4999},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3527},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5262},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5262},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5472},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4999},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5262},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5262},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3233},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4736},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5262},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2000}]}]},{"description":"Shell/acetabular #1217-32-050","code_information":[{"code":"3251307","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1997,"maximum":5466,"gross_charge":5256,"discounted_cash":3942,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997}]}]},{"description":"Shell/acetabular #1217-32-052","code_information":[{"code":"3251046","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1997,"maximum":5466,"gross_charge":5256,"discounted_cash":3942,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997}]}]},{"description":"Shell/acetabular #1217-32-056","code_information":[{"code":"3251499","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1997,"maximum":5466,"gross_charge":5256,"discounted_cash":3942,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997}]}]},{"description":"Legion Pressfit Stem","code_information":[{"code":"3700440","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1997,"maximum":5466,"gross_charge":5256,"discounted_cash":3942,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997}]}]},{"description":"Comp/rmhs Fem Comp Size-10s #Mh1098c","code_information":[{"code":"3255410","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3255410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1997,"maximum":5466,"gross_charge":5256,"discounted_cash":3942,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997}]}]},{"description":"Legion Offset Coupler 2mm","code_information":[{"code":"3700441","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1994,"maximum":5457,"gross_charge":5247,"discounted_cash":3935,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4985},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3517},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3683},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4355},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4040},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3224},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1994}]}]},{"description":"Plate/tibia 4.5lcp #240.041","code_information":[{"code":"3251299","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1992,"maximum":5453,"gross_charge":5243,"discounted_cash":3932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4981},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3514},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1992},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4981},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4352},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4037},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1992}]}]},{"description":"9mm T1 Cannulated Humeral Nail","code_information":[{"code":"3700039","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1992,"maximum":5453,"gross_charge":5243,"discounted_cash":3932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4981},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3514},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1992},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4981},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4352},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4037},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1992}]}]},{"description":".St Ngs Colon","code_information":[{"code":"4017788","type":"CDM"},{"code":"300","type":"RC"},{"code":"81445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1988,"maximum":5440,"gross_charge":5231,"discounted_cash":3923,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4969},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5440},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4969},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4028},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3214},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4708},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1988}]}]},{"description":"Putty Bone Montage 10gm 5cc","code_information":[{"code":"3700904","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1970,"maximum":5392,"gross_charge":5185,"discounted_cash":3889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5392},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1990},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4304},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4667},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1970}]}]},{"description":"Graft Stravix 2x4cm","code_information":[{"code":"3700861","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4133","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1967,"maximum":5382,"gross_charge":5175,"discounted_cash":3881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3633},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3985},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Implant System Achilles Speedbridge","code_information":[{"code":"3700135","type":"CDM"},{"code":"274","type":"RC"},{"code":"L8699","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1967,"maximum":5382,"gross_charge":5175,"discounted_cash":3881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3633},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3985},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1967}]}]},{"description":"Insert/sigma Stab Xlk 2.5 8mm #158122108","code_information":[{"code":"3251143","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1965,"maximum":5379,"gross_charge":5172,"discounted_cash":3879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3631},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4293},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4655},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965}]}]},{"description":"Insert/tibial Fixed Bearing #1581-22-110","code_information":[{"code":"3251329","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1965,"maximum":5379,"gross_charge":5172,"discounted_cash":3879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3631},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4293},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4655},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965}]}]},{"description":"Insert/tibial Fixed Bearing #1581-22-112","code_information":[{"code":"3251492","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1965,"maximum":5379,"gross_charge":5172,"discounted_cash":3879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3631},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4293},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4655},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965}]}]},{"description":"Sling Lynx System","code_information":[{"code":"3700590","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1771","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1962,"maximum":5368,"gross_charge":5162,"discounted_cash":3872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4904},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3460},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1962},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3624},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4904},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4646},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1962}]}]},{"description":"Nail/knee Gold 10x36 #7163-3236","code_information":[{"code":"3258259","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3258259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1945,"maximum":5324,"gross_charge":5119,"discounted_cash":3839,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4863},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5324},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3594},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4249},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3942},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4607},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2004},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1945}]}]},{"description":"Skyla Intrauterine Insert Er 13.5 Mg","code_information":[{"code":"4070061","type":"CDM"},{"code":"636","type":"RC"},{"code":"50419042201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5305,"gross_charge":5101,"discounted_cash":3826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3928},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4591},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1938}]}],"drug_information":{"unit":135,"type":"ME"}},{"description":"Nail/femoral Recon 10x400 #04.003.361s","code_information":[{"code":"3259820","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1936,"maximum":5300,"gross_charge":5096,"discounted_cash":3822,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4841},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3416},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4841},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3924},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3131},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4586},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936}]}]},{"description":"Nm Iodine I-123 Ioflupane","code_information":[{"code":"4060339","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9584","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1922,"maximum":5260,"gross_charge":5058,"discounted_cash":3794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1922},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1922},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1980},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922}]}]},{"description":"Nail/tibial Cannulated #04.034.352s","code_information":[{"code":"3250697","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1922,"maximum":5259,"gross_charge":5057,"discounted_cash":3793,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4804},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1922},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5057},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5057},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3550},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4804},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5057},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5057},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3108},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5057},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922}]}]},{"description":"Nail/trochanteric Fixation","code_information":[{"code":"3251391","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1920,"maximum":5254,"gross_charge":5052,"discounted_cash":3789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3386},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3890},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920}]}]},{"description":"Nail/trochanteric Fixation #456.417s","code_information":[{"code":"3250237","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1920,"maximum":5254,"gross_charge":5052,"discounted_cash":3789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3386},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3890},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920}]}]},{"description":"Nail/trochanteric Fixation #456.420s","code_information":[{"code":"3250287","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1920,"maximum":5254,"gross_charge":5052,"discounted_cash":3789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3386},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3890},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920}]}]},{"description":"Nail/trochanteric Fixation #456.421s","code_information":[{"code":"3250329","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1920,"maximum":5254,"gross_charge":5052,"discounted_cash":3789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3386},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3890},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920}]}]},{"description":"11mmx130 Fixation Nail 300mm Right","code_information":[{"code":"3700098","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1919,"maximum":5253,"gross_charge":5051,"discounted_cash":3788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4798},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3386},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5051},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5051},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5051},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5051},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3889},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4546},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5051},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919}]}]},{"description":"Paclitaxel Protein-bound 100 Mg Vial","code_information":[{"code":"4077773","type":"CDM"},{"code":"636","type":"RC"},{"code":"68817013450","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5223,"gross_charge":5022,"discounted_cash":3767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4771},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3366},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4771},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4520},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1966},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Component/glenoid #4302-40-46","code_information":[{"code":"3251264","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1906,"maximum":5218,"gross_charge":5017,"discounted_cash":3763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4766},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3363},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3522},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4766},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3863},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3083},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906}]}]},{"description":"Plate/lcp Prox Tib #04.124.200","code_information":[{"code":"3250708","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":5208,"gross_charge":5008,"discounted_cash":3756,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4758},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3357},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3516},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3856},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3077},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4507},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903}]}]},{"description":"Comp/femeral #7142-3203","code_information":[{"code":"3250222","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1900,"maximum":5200,"gross_charge":5000,"discounted_cash":3750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3352},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900}]}]},{"description":"Legion Post Non-por Fem Sz 8 Lt","code_information":[{"code":"3700680","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1900,"maximum":5200,"gross_charge":5000,"discounted_cash":3750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3352},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900}]}]},{"description":"Bone Void Filler 10cc","code_information":[{"code":"3700497","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1897,"maximum":5193,"gross_charge":4993,"discounted_cash":3745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4743},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3505},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4743},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3845},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3068},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897}]}]},{"description":"Filler Bone Osteocrete 5cc Kit","code_information":[{"code":"3700890","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1897,"maximum":5193,"gross_charge":4993,"discounted_cash":3745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4743},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3505},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4743},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3845},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3068},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4494},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4993},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1897}]}]},{"description":"Plate/condylar Rt 18h","code_information":[{"code":"3251898","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1891,"maximum":5174,"gross_charge":4975,"discounted_cash":3731,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3335},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1891},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1891},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891}]}]},{"description":"Dantrolene 250 Mg Vial","code_information":[{"code":"4074114","type":"CDM"},{"code":"250","type":"RC"},{"code":"42367054032","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5174,"gross_charge":4975,"discounted_cash":3731,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3335},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1891},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4975},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Comp/fem Fx Conq Sz-11 #7131-6511","code_information":[{"code":"3257926","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Comp/fem Fx Conq Sz-10 #7131-6510","code_information":[{"code":"3257925","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Comp/fem Fx Conq Sz-13 #7131-6513","code_information":[{"code":"3257928","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Comp/fem Fx Conq Sz-16 #7131-6516","code_information":[{"code":"3257931","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Comp/fem Fx Conq Sz-15 #7131-6515","code_information":[{"code":"3257930","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Comp/fem Fx Conq Sz-9 #7131-6509","code_information":[{"code":"3257924","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Comp/fem Fx Conq Sz-14 #7131-6514","code_information":[{"code":"3257929","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1887,"maximum":5166,"gross_charge":4967,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3052},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Distal Femur 13 Hole/316mm Right","code_information":[{"code":"3700102","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1873,"maximum":5125,"gross_charge":4928,"discounted_cash":3696,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1873},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4928},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4928},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4928},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4928},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3795},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3028},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4928},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1873}]}]},{"description":"Or1 Nurse 151-180","code_information":[{"code":"3210207","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1872,"maximum":5122,"gross_charge":4925,"discounted_cash":3694,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4679},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3301},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4679},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4075},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4088},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3026},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1872}]}]},{"description":"Plate Colink Mtp","code_information":[{"code":"3700719","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1870,"maximum":5117,"gross_charge":4920,"discounted_cash":3690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4674},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1870},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3454},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4084},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3023},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4428},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4920},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1870}]}]},{"description":"Plate Evos 3.5x63mm Tibial Rt","code_information":[{"code":"3700648","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1868,"maximum":5112,"gross_charge":4915,"discounted_cash":3686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3295},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4079},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3785},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4915},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1868}]}]},{"description":"Infliximab 100 Mg Vial","code_information":[{"code":"4070079","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894003001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5101,"gross_charge":4905,"discounted_cash":3679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1864},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4905},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4905},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4905},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4905},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4071},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3777},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4415},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4905},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1864}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Stem Genesis Ii Long Non Slotted","code_information":[{"code":"3700454","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1859,"maximum":5089,"gross_charge":4893,"discounted_cash":3670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4648},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1859},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5089},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3435},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4048},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4061},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3768},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3007},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4404},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1859}]}]},{"description":"10mm Lateral Entry Femoral Nail","code_information":[{"code":"3700020","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1859,"maximum":5088,"gross_charge":4892,"discounted_cash":3669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1859},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4892},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4892},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5088},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3434},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4048},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4892},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4892},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4060},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3006},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4403},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4892},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1859}]}]},{"description":"Head/unipolar 52mm #12-6652","code_information":[{"code":"3257659","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 48mm #12-6648","code_information":[{"code":"3256235","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 53mm #12-6653","code_information":[{"code":"3257660","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 51mm #12-6651","code_information":[{"code":"3257658","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 42mm #12-6642","code_information":[{"code":"3257652","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 47mm #12-6647","code_information":[{"code":"3257655","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 55mm #12-6655","code_information":[{"code":"3257661","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 46mm #12-6646","code_information":[{"code":"3257654","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 44mm #12-6644","code_information":[{"code":"3257657","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Head/unipolar 45mm","code_information":[{"code":"3257510","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1858,"maximum":5085,"gross_charge":4889,"discounted_cash":3667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5085},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4889},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858}]}]},{"description":"Screw/locking Ti 4.0 #04.034.343s","code_information":[{"code":"3250425","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1857,"maximum":5081,"gross_charge":4886,"discounted_cash":3665,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4642},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4886},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4886},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5081},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4886},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4886},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3002},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4397},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1912},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4886},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1857}]}]},{"description":"Ct Abscess Peri Renal","code_information":[{"code":"4050227","type":"CDM"},{"code":"761","type":"RC"},{"code":"50020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1855,"maximum":5077,"gross_charge":4882,"discounted_cash":3662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"4050233","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1855,"maximum":5077,"gross_charge":4882,"discounted_cash":3662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855}]}]},{"description":"Us Abscess Peri Renal","code_information":[{"code":"4060236","type":"CDM"},{"code":"761","type":"RC"},{"code":"50020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1855,"maximum":5077,"gross_charge":4882,"discounted_cash":3662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"4060243","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1855,"maximum":5077,"gross_charge":4882,"discounted_cash":3662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855}]}]},{"description":"Plate-t Lcp 8 Hole Rt #239.908","code_information":[{"code":"3259740","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1854,"maximum":5075,"gross_charge":4880,"discounted_cash":3660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1854},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4880},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4880},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3426},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4880},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4880},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4050},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2999},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4880},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1854}]}]},{"description":"Nail/tibial Cannulated #04.004.640s","code_information":[{"code":"3250677","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1852,"maximum":5069,"gross_charge":4874,"discounted_cash":3656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4630},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3267},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5069},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3422},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4033},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3753},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2995},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4387},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4874},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1852}]}]},{"description":"Ustekinumab 130 Mg / 26 Ml","code_information":[{"code":"4070102","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894005427","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5064,"gross_charge":4869,"discounted_cash":3652,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4626},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3264},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1850},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4869},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4869},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5064},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4869},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4869},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4041},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4382},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4869},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850}]}],"drug_information":{"unit":130,"type":"ME"}},{"description":"Kyleena Intrauterine Insert Er 19.5mg","code_information":[{"code":"4070063","type":"CDM"},{"code":"636","type":"RC"},{"code":"50419042401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":5053,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4616},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3257},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5053},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3741},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4859},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1846}]}],"drug_information":{"unit":195,"type":"ME"}},{"description":"Proximal Lateral Tibia 9 Hole 220mm Righ","code_information":[{"code":"3700067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1843,"maximum":5045,"gross_charge":4851,"discounted_cash":3638,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1843},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5045},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3405},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4014},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3735},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1843},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4851},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1843}]}]},{"description":"Nail/trochanteric #456.319s","code_information":[{"code":"3250941","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1843,"maximum":5043,"gross_charge":4849,"discounted_cash":3637,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4607},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1843},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4849},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4849},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5043},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4607},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4849},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4849},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4025},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3734},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2980},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4849},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1843}]}]},{"description":"Puraply Am 4 X 4 Cm","code_information":[{"code":"3700225","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4196","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1841,"maximum":5039,"gross_charge":4845,"discounted_cash":3634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4845},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4845},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5039},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4845},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4845},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4021},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3731},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4845},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Biopsy exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"CP17543256209712496","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1837,"maximum":5028,"gross_charge":4835,"discounted_cash":3626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3241},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4835},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4835},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3394},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4000},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4835},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4835},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3723},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4352},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4835},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837}]}]},{"description":"Plate/proximal Tibia 4.5 8hole Rt","code_information":[{"code":"3252022","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1832,"maximum":5013,"gross_charge":4820,"discounted_cash":3615,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4820},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4820},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5013},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4820},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4820},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4001},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3711},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4338},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4820},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832}]}]},{"description":"Ct Abd Pelv Wo","code_information":[{"code":"4050010-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74176","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1819,"maximum":4978,"gross_charge":4787,"discounted_cash":3590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4548},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3209},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1819},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4978},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3360},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4548},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3973},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2942},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1819}]}]},{"description":"Plate/condylar Rt 4.5lcp 14h Rt #222.664","code_information":[{"code":"3251488","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1816,"maximum":4971,"gross_charge":4780,"discounted_cash":3585,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4541},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3204},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1816},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4971},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3356},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3955},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3967},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2937},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4780},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816}]}]},{"description":"Conq Fx Femoral Component","code_information":[{"code":"3700107","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1815,"maximum":4968,"gross_charge":4777,"discounted_cash":3583,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4538},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3202},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1815},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4968},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3353},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4538},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3965},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2935},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1815},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1815}]}]},{"description":"Alemtuzumab 30 Mg Inj","code_information":[{"code":"4077398","type":"CDM"},{"code":"636","type":"RC"},{"code":"58468020001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":4967,"gross_charge":4776,"discounted_cash":3582,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4537},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3201},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1815},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4776},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4776},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4967},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3353},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4776},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4776},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4298},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4776},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1815}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Removal of one knee cartilage using an endoscope","code_information":[{"code":"CP17543256209710560","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29881","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1794,"maximum":4911,"gross_charge":4722,"discounted_cash":3542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4486},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4911},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3907},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3919},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3636},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2902},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794}]}]},{"description":"Tray/tibial Fixed Bearing #1581-30-000","code_information":[{"code":"3251274","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1794,"maximum":4909,"gross_charge":4720,"discounted_cash":3540,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4720},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4720},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4909},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4484},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4720},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4720},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3918},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3634},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2900},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4248},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4720},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794}]}]},{"description":"Rabies Immune Globulin 900 Units / 3 Ml","code_information":[{"code":"4070235","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533031803","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":4900,"gross_charge":4712,"discounted_cash":3534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1791},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3911},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3628},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4241},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791}]}],"drug_information":{"unit":3,"type":"ML"}},{"description":"Nail/tibial Cannulated #04.034.346s","code_information":[{"code":"3250596","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1789,"maximum":4897,"gross_charge":4709,"discounted_cash":3532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4474},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3306},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4474},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3908},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3626},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789}]}]},{"description":"Or2 Nurse 31-45","code_information":[{"code":"3210213","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1789,"maximum":4895,"gross_charge":4707,"discounted_cash":3530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4472},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4895},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3624},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2892},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4236},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789}]}]},{"description":"Ti Lcp Proximal Lateral Tibia Plate","code_information":[{"code":"3700115","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1783,"maximum":4881,"gross_charge":4693,"discounted_cash":3520,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4458},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1783},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4693},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4693},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4881},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3294},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4693},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4693},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2884},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4693},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783}]}]},{"description":"Golimumab 50mg/4ml Vial","code_information":[{"code":"4079189","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894035001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":4880,"gross_charge":4692,"discounted_cash":3519,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4457},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1783},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4692},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4692},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4880},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3294},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4457},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4692},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4692},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3613},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4223},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1836},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4692},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Toe Joint Ins 2.5x3.6mm","code_information":[{"code":"3700616","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1774,"maximum":4856,"gross_charge":4669,"discounted_cash":3502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3875},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774}]}]},{"description":"Myosure Lit Tissue Removal Device","code_information":[{"code":"3700079","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1782","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1774,"maximum":4856,"gross_charge":4669,"discounted_cash":3502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3875},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774}]}]},{"description":"Insert/phalangeal 1.5 Mm Offset","code_information":[{"code":"3701131","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1774,"maximum":4856,"gross_charge":4669,"discounted_cash":3502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3875},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774}]}]},{"description":"Insert Mod 2.5mm Offset -02","code_information":[{"code":"3700986","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1774,"maximum":4856,"gross_charge":4669,"discounted_cash":3502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3875},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4669},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774}]}]},{"description":"Staple Nitinol 12x12","code_information":[{"code":"3700227","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1769,"maximum":4842,"gross_charge":4656,"discounted_cash":3492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4423},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1769},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3269},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4423},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3852},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3864},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3585},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2861},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769}]}]},{"description":"Mesh/c-qur #31237","code_information":[{"code":"3259477","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1766,"maximum":4833,"gross_charge":4647,"discounted_cash":3485,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4415},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3262},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3845},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3857},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2856},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1766},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4647},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1766}]}]},{"description":"Myosure Xl Tissue Removal Device","code_information":[{"code":"3700176","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1782","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1758,"maximum":4810,"gross_charge":4625,"discounted_cash":3469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3247},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3839},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1758}]}]},{"description":"Tfna Nail 10mm/130 Deg 170 Mm (Short)","code_information":[{"code":"3700249","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1751,"maximum":4792,"gross_charge":4608,"discounted_cash":3456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1751},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751}]}]},{"description":"Nail Tfna Short  9x170 Mm","code_information":[{"code":"3700351","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1751,"maximum":4792,"gross_charge":4608,"discounted_cash":3456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1751},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751}]}]},{"description":"Tfna 11mmx130 Deg, Short Nail","code_information":[{"code":"3700365","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1751,"maximum":4792,"gross_charge":4608,"discounted_cash":3456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1751},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751}]}]},{"description":"Tfna 11 Mm, 130 Deg. (Short Nail)","code_information":[{"code":"3251792","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1751,"maximum":4792,"gross_charge":4608,"discounted_cash":3456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1751},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751}]}]},{"description":"Abatacept 250 Mg Vial","code_information":[{"code":"4078033","type":"CDM"},{"code":"636","type":"RC"},{"code":"32187","type":"CPT","modifier":"13"}],"standard_charges":[{"setting":"outpatient","modifier_code":["13"],"minimum":1749,"maximum":4787,"gross_charge":4603,"discounted_cash":3452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3809},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Plate/10h Lft","code_information":[{"code":"3251806","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1749,"maximum":4786,"gross_charge":4602,"discounted_cash":3452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4372},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4786},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3808},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749}]}]},{"description":"Mtp Short Plate","code_information":[{"code":"3701114","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1748,"maximum":4785,"gross_charge":4601,"discounted_cash":3451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3084},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4601},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4601},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3807},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4601},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4601},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3543},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4601},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748}]}]},{"description":"Plate/4.5 Lcp Prox Fem 6h #242.806","code_information":[{"code":"3259472","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1741,"maximum":4765,"gross_charge":4582,"discounted_cash":3437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1741},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4765},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3803},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3528},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1793},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1741}]}]},{"description":"Gynecare Tvt Exact #Tvtrl","code_information":[{"code":"3250995","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1740,"maximum":4762,"gross_charge":4579,"discounted_cash":3434,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3069},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4762},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3214},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1757},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3526},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4579},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1740}]}]},{"description":"System/obtryx Sling","code_information":[{"code":"3250732","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1734,"maximum":4744,"gross_charge":4562,"discounted_cash":3422,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4334},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3058},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1734},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4562},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4562},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4744},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4334},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4562},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4562},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4562},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1734}]}]},{"description":"Staple Kit 8 X 8 Mm","code_information":[{"code":"3700523","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1731,"maximum":4737,"gross_charge":4555,"discounted_cash":3416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3781},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731}]}]},{"description":"Staple/straight Kit 10x10mm","code_information":[{"code":"3700984","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1731,"maximum":4737,"gross_charge":4555,"discounted_cash":3416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3781},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731}]}]},{"description":"Htube Implant 2.75mm","code_information":[{"code":"3701106","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8641","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1731,"maximum":4737,"gross_charge":4555,"discounted_cash":3416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3781},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731}]}]},{"description":"Staple 15mm X 12mm","code_information":[{"code":"3700534","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1725,"maximum":4721,"gross_charge":4539,"discounted_cash":3404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3186},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3756},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3495},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725}]}]},{"description":"Staple Lg Midfoot","code_information":[{"code":"3700504","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1725,"maximum":4721,"gross_charge":4539,"discounted_cash":3404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3186},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3756},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3495},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725}]}]},{"description":"Altrx+4 Neut 36idx56od","code_information":[{"code":"3251305","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1721,"maximum":4711,"gross_charge":4530,"discounted_cash":3398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4304},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3036},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1721},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4530},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4530},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4711},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4530},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4530},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4077},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4530},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1721}]}]},{"description":"Endoscopy2 Nurse 121-150","code_information":[{"code":"3280209","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1720,"maximum":4708,"gross_charge":4527,"discounted_cash":3395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3746},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3757},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3486},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2782},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4074},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1772},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1720}]}]},{"description":"Cortifuse Flowable Fibers 2.5cc","code_information":[{"code":"3701133","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1762","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1713,"maximum":4688,"gross_charge":4508,"discounted_cash":3381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3022},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3742},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3471},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713}]}]},{"description":"Component Art 15 Mm 2.5 X 4.5","code_information":[{"code":"32510022","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1710,"maximum":4680,"gross_charge":4500,"discounted_cash":3375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3016},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4680},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3735},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710}]}]},{"description":"Toe Joint 15mm 2.5mmx3.5mm #9m52-2535-w","code_information":[{"code":"3700532","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8641","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1710,"maximum":4680,"gross_charge":4500,"discounted_cash":3375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3016},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4680},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3735},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710}]}]},{"description":"Art Comp Toe 15mm 2.5x3.5 Mm","code_information":[{"code":"32510007","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1710,"maximum":4680,"gross_charge":4500,"discounted_cash":3375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3016},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4680},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3735},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710}]}]},{"description":"Nail/tibial Cannulated #04.004.446s","code_information":[{"code":"3250219","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1687,"maximum":4618,"gross_charge":4440,"discounted_cash":3330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687}]}]},{"description":"Nail/tibial Cannulated Ti 10mm","code_information":[{"code":"3251864","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1687,"maximum":4618,"gross_charge":4440,"discounted_cash":3330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687}]}]},{"description":"Plate/t-buttress 6 Hole #240.039","code_information":[{"code":"3259899","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1687,"maximum":4618,"gross_charge":4440,"discounted_cash":3330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687}]}]},{"description":"Nail Tibial Titanium 11x345mm","code_information":[{"code":"3700099","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1687,"maximum":4618,"gross_charge":4440,"discounted_cash":3330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687}]}]},{"description":"Ti Cann Tibial Nail 8mm X 360mm","code_information":[{"code":"3700100","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1687,"maximum":4618,"gross_charge":4440,"discounted_cash":3330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687}]}]},{"description":"Head/unipolar 50mm #12-6650","code_information":[{"code":"3257528","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1685,"maximum":4612,"gross_charge":4435,"discounted_cash":3326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1685},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685}]}]},{"description":"Head/unipolar 54mm #12-6654","code_information":[{"code":"3257589","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1685,"maximum":4612,"gross_charge":4435,"discounted_cash":3326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1685},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685}]}]},{"description":"Tandem Unipolar 42mm","code_information":[{"code":"3700546","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1685,"maximum":4612,"gross_charge":4435,"discounted_cash":3326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1685},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685}]}]},{"description":"Tandem Unipolar 50mm","code_information":[{"code":"3700639","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1685,"maximum":4612,"gross_charge":4435,"discounted_cash":3326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1685},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685}]}]},{"description":"Tibial Nail 8mm X 360mm","code_information":[{"code":"3700164","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1684,"maximum":4609,"gross_charge":4432,"discounted_cash":3324,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1684},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4432},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4432},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4609},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4432},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4432},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3679},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3989},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4432},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1684}]}]},{"description":".Zblood Culture Id2 Biofire Pcr","code_information":[{"code":"4017806","type":"CDM"},{"code":"300","type":"RC"},{"code":"87150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1678,"maximum":4593,"gross_charge":4416,"discounted_cash":3312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4195},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4593},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1678}]}]},{"description":"Implant System Meniscal Root Repair","code_information":[{"code":"3700213","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1676,"maximum":4586,"gross_charge":4410,"discounted_cash":3308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4586},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3649},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3396},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2710},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3969},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676}]}]},{"description":"Durolane Pfs 60 Mg   3 Ml Syringe","code_information":[{"code":"4070148","type":"CDM"},{"code":"636","type":"RC"},{"code":"89130202001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":4586,"gross_charge":4410,"discounted_cash":3308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4586},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3649},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3396},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3969},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4410},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Breast Reduction","code_information":[{"code":"2200003","type":"CDM"},{"code":"360","type":"RC"},{"code":"19318","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1675,"maximum":4585,"gross_charge":4409,"discounted_cash":3307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1675},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4585},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3095},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3395},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675}]}]},{"description":"Comp/fem Fx Conq Sz-12 #7131-6512","code_information":[{"code":"3257927","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1675,"maximum":4585,"gross_charge":4409,"discounted_cash":3307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1675},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4585},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3095},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3395},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4409},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675}]}]},{"description":"Liner/ Epoly 32x23","code_information":[{"code":"3259909","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259909","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1669,"maximum":4569,"gross_charge":4393,"discounted_cash":3295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4393},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4393},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3084},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4393},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4393},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4393},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1669}]}]},{"description":"Ureteroscope Disposable","code_information":[{"code":"3251814","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1747","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1666,"maximum":4558,"gross_charge":4383,"discounted_cash":3287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1666},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3077},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3638},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666}]}]},{"description":"Tendon/semtendinosus #895","code_information":[{"code":"3257326","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1666,"maximum":4558,"gross_charge":4383,"discounted_cash":3287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1666},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3077},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3638},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4383},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666}]}]},{"description":"Tfna/12mm X 130deg (Short)","code_information":[{"code":"3700211","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1663,"maximum":4552,"gross_charge":4377,"discounted_cash":3283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3073},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3633},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3939},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663}]}]},{"description":"Liner/acetabular #1217-22-056","code_information":[{"code":"3251304","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1663,"maximum":4551,"gross_charge":4376,"discounted_cash":3282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2933},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3072},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663}]}]},{"description":"Shell/acetabular 52mm #1217-22-052","code_information":[{"code":"3251316","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1663,"maximum":4551,"gross_charge":4376,"discounted_cash":3282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2933},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3072},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1663}]}]},{"description":"Insert/tibial Fixed Bearing #1581-24-110","code_information":[{"code":"3251336","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251336","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":4543,"gross_charge":4368,"discounted_cash":3276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1660},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4368},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4368},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4543},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4368},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4368},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3625},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3931},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4368},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660}]}]},{"description":"Nail/trochanteric Fixation #456.422s","code_information":[{"code":"3250680","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1654,"maximum":4527,"gross_charge":4353,"discounted_cash":3265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2918},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3613},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654}]}]},{"description":"Nail/trochanteric Fixation #456.423s","code_information":[{"code":"3250675","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1654,"maximum":4527,"gross_charge":4353,"discounted_cash":3265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2918},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3613},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4353},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654}]}]},{"description":"Nm Myocardial Perfusion Imaging Exercise","code_information":[{"code":"4060313","type":"CDM"},{"code":"341","type":"RC"},{"code":"78452","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1653,"maximum":4523,"gross_charge":4349,"discounted_cash":3262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3610},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2672},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653}]}]},{"description":"Nm Myocardial Perfusion Imaging Pharm","code_information":[{"code":"4060336","type":"CDM"},{"code":"341","type":"RC"},{"code":"78452","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1653,"maximum":4523,"gross_charge":4349,"discounted_cash":3262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3610},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2672},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4349},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653}]}]},{"description":"Nail/lfna, 11x380, Left","code_information":[{"code":"3251253","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1650,"maximum":4517,"gross_charge":4343,"discounted_cash":3257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2911},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3605},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650}]}]},{"description":"Nail/femoral Recon 11mm  #04.003.464s","code_information":[{"code":"3251667","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251667","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1650,"maximum":4517,"gross_charge":4343,"discounted_cash":3257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2911},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3605},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4343},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650}]}]},{"description":"Plate/ Lcp Prox Fem 4h #242.804","code_information":[{"code":"3250272","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1647,"maximum":4508,"gross_charge":4335,"discounted_cash":3251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1664},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3598},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3338},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3902},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647}]}]},{"description":"Nail/femoral Recon  #04.003.253s","code_information":[{"code":"3251554","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1637,"maximum":4481,"gross_charge":4309,"discounted_cash":3232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1637},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4481},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2648},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637}]}]},{"description":"Nail/femoral Recon 10mm","code_information":[{"code":"3251899","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1637,"maximum":4481,"gross_charge":4309,"discounted_cash":3232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1637},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4481},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2648},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637}]}]},{"description":"Nail/femoral Recon 10x380","code_information":[{"code":"3251890","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251890","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1637,"maximum":4481,"gross_charge":4309,"discounted_cash":3232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1637},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4481},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2648},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637}]}]},{"description":"Nail/femoral Recon 12mm #04.003.557s","code_information":[{"code":"3259850","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1637,"maximum":4481,"gross_charge":4309,"discounted_cash":3232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1637},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4481},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2648},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637}]}]},{"description":"Nail/femoral Recon 12x400","code_information":[{"code":"3251498","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1637,"maximum":4481,"gross_charge":4309,"discounted_cash":3232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1637},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4481},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2648},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637}]}]},{"description":"Coupler/offset 6mm #7142-4227","code_information":[{"code":"3259237","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1637,"maximum":4480,"gross_charge":4308,"discounted_cash":3231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4093},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1637},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3024},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4093},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3564},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2647},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3877},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637}]}]},{"description":"Plate/wrist Fusion Standard","code_information":[{"code":"3252026","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3252026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1633,"maximum":4470,"gross_charge":4298,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4083},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2881},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1633},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3017},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4083},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3556},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3567},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3309},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1633}]}]},{"description":"Plate/va Lcp Med-distal 02.117.601","code_information":[{"code":"3250985","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1627,"maximum":4452,"gross_charge":4281,"discounted_cash":3211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2870},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2631},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627}]}]},{"description":"Plate/va Lcp Med-distal Humeral 02.117.6","code_information":[{"code":"3250968","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1627,"maximum":4452,"gross_charge":4281,"discounted_cash":3211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2870},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2631},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627}]}]},{"description":"Ct Facial With","code_information":[{"code":"4050038","type":"CDM"},{"code":"351","type":"RC"},{"code":"70487","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1627,"maximum":4452,"gross_charge":4281,"discounted_cash":3211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2870},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2631},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627}]}]},{"description":"MRI Scan","code_information":[{"code":"4180104-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70553","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1622,"maximum":4439,"gross_charge":4268,"discounted_cash":3201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2861},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1622},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3286},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2623},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622}]}]},{"description":"Mr Spine Cerv W And Wo","code_information":[{"code":"4180121-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72156","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1622,"maximum":4439,"gross_charge":4268,"discounted_cash":3201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2861},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1622},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3286},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2623},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622}]}]},{"description":"Plate/proximal Humeral #241.903","code_information":[{"code":"3258930","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1617,"maximum":4426,"gross_charge":4256,"discounted_cash":3192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4043},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2853},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1617},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4426},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2988},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3521},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1617}]}]},{"description":"Rasburicase 1.5mg","code_information":[{"code":"4078160","type":"CDM"},{"code":"636","type":"RC"},{"code":"24515","type":"CPT","modifier":"10"}],"standard_charges":[{"setting":"outpatient","modifier_code":["10"],"minimum":1616,"maximum":4423,"gross_charge":4253,"discounted_cash":3190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4040},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2851},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4423},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2986},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3530},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3275},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Plate 6-h #222.657","code_information":[{"code":"3258807","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1592,"maximum":4358,"gross_charge":4190,"discounted_cash":3143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3981},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2941},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3981},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3478},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3226},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3771},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592}]}]},{"description":"Obtryx Curved Single Sys Device","code_information":[{"code":"3250736","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250736","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1588,"maximum":4346,"gross_charge":4179,"discounted_cash":3134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3970},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1588},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2934},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3970},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3469},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3761},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1588}]}]},{"description":"Plate/lateral 3 Hole","code_information":[{"code":"3251956","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1578,"maximum":4319,"gross_charge":4153,"discounted_cash":3115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4319},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1578},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578}]}]},{"description":"Plate/medial 4 Hole","code_information":[{"code":"3251957","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1578,"maximum":4319,"gross_charge":4153,"discounted_cash":3115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4319},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1578},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578}]}]},{"description":"Plate/post-lat Distel Humeral 02.117.207","code_information":[{"code":"3250967","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1578,"maximum":4319,"gross_charge":4153,"discounted_cash":3115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4319},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1578},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578}]}]},{"description":"Bone Void Filler 5cc","code_information":[{"code":"32510015","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1577,"maximum":4316,"gross_charge":4150,"discounted_cash":3113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3943},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2782},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2913},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3445},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3735},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577}]}]},{"description":"Femoral/anatomical Rt #Dnpar","code_information":[{"code":"3251673","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1577,"maximum":4315,"gross_charge":4149,"discounted_cash":3112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3942},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2913},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577}]}]},{"description":"Screw/long Thread 4.0x28mm","code_information":[{"code":"3252081","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1577,"maximum":4315,"gross_charge":4149,"discounted_cash":3112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3942},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2913},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577}]}]},{"description":"Or1 Nurse 121-150","code_information":[{"code":"3210206","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1576,"maximum":4313,"gross_charge":4147,"discounted_cash":3110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2780},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1576},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4313},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2911},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3442},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1576}]}]},{"description":"Echo 2w/ventralight St 20x25cm","code_information":[{"code":"3700146","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1575,"maximum":4310,"gross_charge":4144,"discounted_cash":3108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3937},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2778},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3937},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575}]}]},{"description":"Tc-99m Ethyl Cysteinate Dimer","code_information":[{"code":"4070125","type":"CDM"},{"code":"250","type":"RC"},{"code":"A9557","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1575,"maximum":4310,"gross_charge":4144,"discounted_cash":3108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3937},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2778},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3937},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1575}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Plate/tibial Med Prox Lcp 3.5 #239.954s","code_information":[{"code":"3251608","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1570,"maximum":4296,"gross_charge":4131,"discounted_cash":3098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3924},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2769},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1570},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2900},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3924},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3181},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2538},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3718},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1570}]}]},{"description":"Plate/ Lcp Prox Fem 4h #242.104","code_information":[{"code":"3259985","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1569,"maximum":4294,"gross_charge":4129,"discounted_cash":3097,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2768},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569}]}]},{"description":"Degarelix 240mg Inj","code_information":[{"code":"4079170","type":"CDM"},{"code":"636","type":"RC"},{"code":"55566840301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":4294,"gross_charge":4129,"discounted_cash":3097,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2768},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3716},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569}]}],"drug_information":{"unit":240,"type":"ME"}},{"description":"Lapilock Instrument Kit","code_information":[{"code":"3700832","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1565,"maximum":4284,"gross_charge":4119,"discounted_cash":3089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2892},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3408},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2531},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3707},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1565}]}]},{"description":"Liner/acet Altrix 36mm #1221-36-052","code_information":[{"code":"3251319","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1563,"maximum":4276,"gross_charge":4112,"discounted_cash":3084,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3906},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2756},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1563},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1563}]}]},{"description":"Tray/smartport Ct 9.6","code_information":[{"code":"3251749","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1561,"maximum":4272,"gross_charge":4108,"discounted_cash":3081,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2754},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2884},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3903},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3410},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1561},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1561}]}]},{"description":"Nail/tibial W/ Prox Bend 10mm 345mm","code_information":[{"code":"3252114","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4264,"gross_charge":4100,"discounted_cash":3075,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2878},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Nail-ex Ti Cannulated Tibial 8mm","code_information":[{"code":"3700453","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4264,"gross_charge":4100,"discounted_cash":3075,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2878},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"8 Ti Cann Tibial Nail-ex Prox Bend 345mm","code_information":[{"code":"3700212","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4264,"gross_charge":4100,"discounted_cash":3075,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2878},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Nail/ti Cann Tibial 11x390 04.004.558s","code_information":[{"code":"3252067","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4263,"gross_charge":4099,"discounted_cash":3074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Nail Tibial 10x285 Mm","code_information":[{"code":"3700349","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4263,"gross_charge":4099,"discounted_cash":3074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Nail Tibial Cannulated 11mm Ti","code_information":[{"code":"3700388","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4263,"gross_charge":4099,"discounted_cash":3074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Nail Tibial 8x345 Mm","code_information":[{"code":"3700348","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4263,"gross_charge":4099,"discounted_cash":3074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Nail Ti Cannulated Tibial 10mm X 345 Mm","code_information":[{"code":"3700248","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1558,"maximum":4263,"gross_charge":4099,"discounted_cash":3074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4099},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1558}]}]},{"description":"Plate/4.5 Lcp Prox Fem #242.106","code_information":[{"code":"3250030","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1556,"maximum":4258,"gross_charge":4094,"discounted_cash":3071,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2744},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1556},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2874},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3398},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4094},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556}]}]},{"description":"Mitomycin 40 Mg Vial","code_information":[{"code":"4077843","type":"CDM"},{"code":"636","type":"RC"},{"code":"71288013951","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":4255,"gross_charge":4091,"discounted_cash":3068,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1555},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2872},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Pelvilace To #482151","code_information":[{"code":"3258936","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1771","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1554,"maximum":4253,"gross_charge":4089,"discounted_cash":3067,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3885},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4089},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4089},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2870},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3885},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4089},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4089},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3394},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1600},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4089},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1554}]}]},{"description":"Handpiece/disp Minerva #Min9770","code_information":[{"code":"3251641","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1545,"maximum":4230,"gross_charge":4067,"discounted_cash":3050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3864},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2726},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3864},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545}]}]},{"description":"Kit Mis Handpiece P65-001-0001-sk","code_information":[{"code":"3701093","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1545,"maximum":4230,"gross_charge":4067,"discounted_cash":3050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3864},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2726},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3864},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4067},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545}]}]},{"description":"Liner/acet Altrix #1221-36-056","code_information":[{"code":"3251500","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1530,"maximum":4187,"gross_charge":4026,"discounted_cash":3020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2826},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2474},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3623},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1530}]}]},{"description":"Nail/imhs 10mm Lft #7116-3534l","code_information":[{"code":"3257886","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3257886","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1528,"maximum":4182,"gross_charge":4021,"discounted_cash":3016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3820},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2695},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4021},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4021},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3820},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1543},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4021},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4021},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3619},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4021},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1528}]}]},{"description":"Plate/ Proximal Tibia 4 Hole #240.036","code_information":[{"code":"3259666","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1526,"maximum":4176,"gross_charge":4015,"discounted_cash":3011,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2691},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1526},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2819},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3092},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526}]}]},{"description":"Plate/lcp Proximal Tibia 4.5 #240.037","code_information":[{"code":"3259332","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1526,"maximum":4176,"gross_charge":4015,"discounted_cash":3011,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2691},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1526},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2819},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3092},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526}]}]},{"description":"Insert/tibial Platform #96-2121","code_information":[{"code":"3251428","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251428","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1525,"maximum":4174,"gross_charge":4013,"discounted_cash":3010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3612},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525}]}]},{"description":"Insert/tibial Platform #96-2131","code_information":[{"code":"3251419","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1525,"maximum":4174,"gross_charge":4013,"discounted_cash":3010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3612},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525}]}]},{"description":"Insert/tibial Platform #96-2132","code_information":[{"code":"3251427","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1525,"maximum":4174,"gross_charge":4013,"discounted_cash":3010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3612},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4013},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525}]}]},{"description":"Nail/trochanteric #456.315s","code_information":[{"code":"3250196","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1518,"maximum":4154,"gross_charge":3994,"discounted_cash":2996,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3994},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3994},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3994},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3994},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3075},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3595},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3994},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518}]}]},{"description":".Charge Uvmc Genedx Prenat Whl Chrom Ana","code_information":[{"code":"4016005","type":"CDM"},{"code":"310","type":"RC"},{"code":"81229","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1515,"maximum":4148,"gross_charge":3988,"discounted_cash":2991,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3310},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2451},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515}]}]},{"description":"Infliximab-dyyb 100 Mg Vial","code_information":[{"code":"4070186","type":"CDM"},{"code":"636","type":"RC"},{"code":"69080","type":"CPT","modifier":"901"}],"standard_charges":[{"setting":"outpatient","modifier_code":["901"],"minimum":1510,"maximum":4133,"gross_charge":3974,"discounted_cash":2981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1510},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3060},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Insert/tibial Platform #96-2142","code_information":[{"code":"3251351","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251351","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1510,"maximum":4133,"gross_charge":3974,"discounted_cash":2981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1510},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3060},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510}]}]},{"description":"Insert/tibial Platform #96-2151","code_information":[{"code":"3251284","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251284","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1510,"maximum":4133,"gross_charge":3974,"discounted_cash":2981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1510},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3060},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510}]}]},{"description":"Insert/tibial Platform #96-2153","code_information":[{"code":"3251368","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251368","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1510,"maximum":4133,"gross_charge":3974,"discounted_cash":2981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1510},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3060},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3974},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510}]}]},{"description":"Insert/genesis Ii Sz 3-4 9mm #7142-1536","code_information":[{"code":"3250133","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1506,"maximum":4120,"gross_charge":3962,"discounted_cash":2972,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1506},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1506}]}]},{"description":"Nm Hepatobiliary Imaging W Cck","code_information":[{"code":"4060309","type":"CDM"},{"code":"341","type":"RC"},{"code":"78227","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1502,"maximum":4110,"gross_charge":3952,"discounted_cash":2964,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2649},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2774},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3280},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3952},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502}]}]},{"description":"Ct Biopsy Abd Retroperitioneal","code_information":[{"code":"4050235","type":"CDM"},{"code":"761","type":"RC"},{"code":"49180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Bone Trocar Or Needle Deep","code_information":[{"code":"4050236","type":"CDM"},{"code":"761","type":"RC"},{"code":"20225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Bone Trocar Or Needle Suprfic","code_information":[{"code":"4050237","type":"CDM"},{"code":"761","type":"RC"},{"code":"20220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Liver","code_information":[{"code":"4050238","type":"CDM"},{"code":"761","type":"RC"},{"code":"47000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Muscle","code_information":[{"code":"4050239","type":"CDM"},{"code":"761","type":"RC"},{"code":"20206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Pancreas","code_information":[{"code":"4050241","type":"CDM"},{"code":"761","type":"RC"},{"code":"48102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Pleura","code_information":[{"code":"4050242","type":"CDM"},{"code":"761","type":"RC"},{"code":"32400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Ct Biopsy Renal","code_information":[{"code":"4050243","type":"CDM"},{"code":"761","type":"RC"},{"code":"50200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Abd Retroperitioneal","code_information":[{"code":"4060242","type":"CDM"},{"code":"761","type":"RC"},{"code":"49180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Bone Trocar Or Needle Deep","code_information":[{"code":"4060245","type":"CDM"},{"code":"761","type":"RC"},{"code":"20225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Bone Trocar Or Needle Suprfic","code_information":[{"code":"4060246","type":"CDM"},{"code":"761","type":"RC"},{"code":"20220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Liver","code_information":[{"code":"4060247","type":"CDM"},{"code":"761","type":"RC"},{"code":"47000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Muscle Percutaneous Needle","code_information":[{"code":"4060250","type":"CDM"},{"code":"761","type":"RC"},{"code":"20206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Pancreas","code_information":[{"code":"4060249","type":"CDM"},{"code":"761","type":"RC"},{"code":"48102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Pleura","code_information":[{"code":"4060251","type":"CDM"},{"code":"761","type":"RC"},{"code":"32400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Us Biopsy Renal","code_information":[{"code":"4060252","type":"CDM"},{"code":"761","type":"RC"},{"code":"50200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1500,"maximum":4105,"gross_charge":3947,"discounted_cash":2960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500}]}]},{"description":"Liner/acet R3 Xlpe 32mm #7133-9552","code_information":[{"code":"3251604","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1495,"maximum":4091,"gross_charge":3934,"discounted_cash":2951,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3737},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2637},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4091},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3737},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3265},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3029},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1495},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1495}]}]},{"description":"Plate/proximal Humeral #241.901","code_information":[{"code":"3259408","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1486,"maximum":4066,"gross_charge":3910,"discounted_cash":2933,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2621},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4066},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486}]}]},{"description":"Liner/acet Sz-e #7133-3384","code_information":[{"code":"3259396","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1486,"maximum":4066,"gross_charge":3910,"discounted_cash":2933,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2621},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4066},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486}]}]},{"description":"Plate/distal Volar-rt (Wide) #Dvraw-r","code_information":[{"code":"3251119","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1484,"maximum":4061,"gross_charge":3905,"discounted_cash":2929,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2618},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1484},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4061},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3241},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3007},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1484},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3905},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1484}]}]},{"description":"Gynecare Tvt Obturator W/lasr #810081l","code_information":[{"code":"3250996","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1481,"maximum":4054,"gross_charge":3898,"discounted_cash":2924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3703},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3001},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3508},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1481}]}]},{"description":"Summit Basic Cemented Sz4 #157006100","code_information":[{"code":"3251381","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1480,"maximum":4052,"gross_charge":3896,"discounted_cash":2922,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2735},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1480}]}]},{"description":"Summit Basic Cemented Sz7 #1570-06-135","code_information":[{"code":"3251408","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1480,"maximum":4052,"gross_charge":3896,"discounted_cash":2922,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2735},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1480}]}]},{"description":"Nail/tibial Cannulated  Ti #04.034.243s","code_information":[{"code":"3251879","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1479,"maximum":4047,"gross_charge":3891,"discounted_cash":2918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1479},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479}]}]},{"description":"Nail/tibial Cannulated #04.004.340s","code_information":[{"code":"3251648","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1479,"maximum":4047,"gross_charge":3891,"discounted_cash":2918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1479},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479}]}]},{"description":"Nail/tibial Cannulated #04.004.455s","code_information":[{"code":"3251293","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1479,"maximum":4047,"gross_charge":3891,"discounted_cash":2918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1479},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479}]}]},{"description":"Nail/tibial Cannulated 10mm","code_information":[{"code":"3259880","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1479,"maximum":4047,"gross_charge":3891,"discounted_cash":2918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1479},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479}]}]},{"description":"Nail/tibial Cannulated 9mmx375mm","code_information":[{"code":"3251473","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1479,"maximum":4047,"gross_charge":3891,"discounted_cash":2918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1479},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479}]}]},{"description":"Comp Art 12x1.0x1.5mm Mtp","code_information":[{"code":"3700917","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1479,"maximum":4047,"gross_charge":3891,"discounted_cash":2918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1479},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479}]}]},{"description":"Femoral/anatomical Lft #Dnpal","code_information":[{"code":"3251674","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1477,"maximum":4041,"gross_charge":3886,"discounted_cash":2915,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4041},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3497},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477}]}]},{"description":"Kit/syndesmosis Tightrope","code_information":[{"code":"3250398","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1474,"maximum":4033,"gross_charge":3878,"discounted_cash":2909,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3684},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4033},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2986},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474}]}]},{"description":"Plate/clavicle 8 Hole Lft 02.112.085","code_information":[{"code":"3250575","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1471,"maximum":4026,"gross_charge":3871,"discounted_cash":2903,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3677},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2595},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1471},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3677},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3213},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2379},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471}]}]},{"description":"Plate/lcp Sup Clavicle # 02.112.090","code_information":[{"code":"3251189","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1471,"maximum":4026,"gross_charge":3871,"discounted_cash":2903,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3677},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2595},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1471},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4026},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3677},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3213},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2981},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2379},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471}]}]},{"description":"Extracorporeal Shockwave Lithotripsy","code_information":[{"code":"3257816","type":"CDM"},{"code":"360","type":"RC"},{"code":"50590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1471,"maximum":4025,"gross_charge":3870,"discounted_cash":2903,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3677},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1471},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4025},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3677},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2980},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3483},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471}]}]},{"description":"Cta Abdomen And Pelvis","code_information":[{"code":"4050208-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74174","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1469,"maximum":4022,"gross_charge":3867,"discounted_cash":2900,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3210},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2978},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469}]}]},{"description":"Insert/genesis Ii Size3-4 9mm #7142-0766","code_information":[{"code":"3256834","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1469,"maximum":4020,"gross_charge":3865,"discounted_cash":2899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4020},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2375},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469}]}]},{"description":"Insert/articular Xlp Size 5-6 #7145-3284","code_information":[{"code":"3251621","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1469,"maximum":4020,"gross_charge":3865,"discounted_cash":2899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4020},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2375},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3865},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469}]}]},{"description":"Insert/tibial Platform #96-2141","code_information":[{"code":"3251157","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1464,"maximum":4007,"gross_charge":3853,"discounted_cash":2890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1464},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4007},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2705},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2967},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464}]}]},{"description":"Insert/tibial Platform #96-2152","code_information":[{"code":"3251098","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1464,"maximum":4007,"gross_charge":3853,"discounted_cash":2890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1464},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4007},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2705},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2967},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3853},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464}]}]},{"description":"Stem/genesis Ii Long #7192-8199","code_information":[{"code":"3252034","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1463,"maximum":4003,"gross_charge":3849,"discounted_cash":2887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3657},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2580},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1463},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3849},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3849},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4003},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3849},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3849},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2365},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3849},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1463}]}]},{"description":"Nail/trochanteric 12mm #456.322s","code_information":[{"code":"3259719","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1459,"maximum":3994,"gross_charge":3840,"discounted_cash":2880,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3648},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3840},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3840},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3994},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3840},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3840},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3187},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2360},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3456},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3840},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1459}]}]},{"description":"Mesh/ventralight Patch 6x8  #5954680","code_information":[{"code":"3251355","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1454,"maximum":3979,"gross_charge":3826,"discounted_cash":2870,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3979},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454}]}]},{"description":"Tissue Fixation System Tenotec 2.0","code_information":[{"code":"3700333","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1454,"maximum":3979,"gross_charge":3826,"discounted_cash":2870,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3979},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3826},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454}]}]},{"description":"Plate/lcp Proximal Tibia 4.5 #240.038","code_information":[{"code":"3250959","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1449,"maximum":3967,"gross_charge":3814,"discounted_cash":2861,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3623},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3967},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449}]}]},{"description":"Plate/ 6 Hole","code_information":[{"code":"3251796","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1441,"maximum":3944,"gross_charge":3792,"discounted_cash":2844,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":2542},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1441},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3944},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3147},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441}]}]},{"description":"Distal Augment Sz5 4mm Left #96-0900","code_information":[{"code":"3251095","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1440,"maximum":3942,"gross_charge":3790,"discounted_cash":2843,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3601},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2918},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2329},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440}]}]},{"description":"Shell/r3 Sz-56mm #7133-8667","code_information":[{"code":"3250851","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1440,"maximum":3941,"gross_charge":3789,"discounted_cash":2842,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3941},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2660},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2918},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3410},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3789},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440}]}]},{"description":"Head/unipolar 43mm","code_information":[{"code":"3257628","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1439,"maximum":3940,"gross_charge":3788,"discounted_cash":2841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":2539},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1439},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2659},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3599},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2917},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439}]}]},{"description":"Head/unipolar 49mm #12-6649","code_information":[{"code":"3257656","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1439,"maximum":3940,"gross_charge":3788,"discounted_cash":2841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":2539},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1439},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2659},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3599},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2917},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3788},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439}]}]},{"description":"Insert/articular Sm/rt 12mm #7120-4506","code_information":[{"code":"3258330","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3258330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1438,"maximum":3934,"gross_charge":3783,"discounted_cash":2837,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1438},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2913},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1438}]}]},{"description":"Insert Picc Wo Prt Pump Over 5yrs Old","code_information":[{"code":"4040318","type":"CDM"},{"code":"361","type":"RC"},{"code":"36569","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1436,"maximum":3930,"gross_charge":3779,"discounted_cash":2834,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3590},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3930},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436}]}]},{"description":"Ins Picc 5 Yr/> Wo Imaging","code_information":[{"code":"3295480","type":"CDM"},{"code":"761","type":"RC"},{"code":"36569","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1436,"maximum":3930,"gross_charge":3779,"discounted_cash":2834,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3590},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3930},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436}]}]},{"description":"Plate/clavicle 3-h 02.112.006","code_information":[{"code":"3250997","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1431,"maximum":3918,"gross_charge":3767,"discounted_cash":2825,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3579},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3918},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Nail/ti Cann Fixation 11mm 360mm","code_information":[{"code":"3252131","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3252131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1431,"maximum":3916,"gross_charge":3765,"discounted_cash":2824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Nail/trochanteric Fixation #456-413s","code_information":[{"code":"3250724","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1431,"maximum":3916,"gross_charge":3765,"discounted_cash":2824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Nail/trochanteric Fixation #456-414s","code_information":[{"code":"3250357","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1431,"maximum":3916,"gross_charge":3765,"discounted_cash":2824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Nail/trochanteric Fixation #456-415s","code_information":[{"code":"3250125","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1431,"maximum":3916,"gross_charge":3765,"discounted_cash":2824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Nail/trochanteric Fixation #456-419s","code_information":[{"code":"3250181","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1431,"maximum":3916,"gross_charge":3765,"discounted_cash":2824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3765},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Insert/articular Sz 5-6 21mm #7142-0788","code_information":[{"code":"3257672","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1430,"maximum":3915,"gross_charge":3764,"discounted_cash":2823,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3915},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2642},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2898},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430}]}]},{"description":"Liner/acet R3 Xlpe 0 Deg #7133-2754","code_information":[{"code":"3251587","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1429,"maximum":3910,"gross_charge":3760,"discounted_cash":2820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429}]}]},{"description":"Liner/acet R3 Xlpe 36mm #7133-2752","code_information":[{"code":"3251603","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1429,"maximum":3910,"gross_charge":3760,"discounted_cash":2820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429}]}]},{"description":"Liner/acet #7133-5752","code_information":[{"code":"3252027","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1429,"maximum":3910,"gross_charge":3760,"discounted_cash":2820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429}]}]},{"description":"Liner/acet 36mm 52mm","code_information":[{"code":"3252133","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3252133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1429,"maximum":3910,"gross_charge":3760,"discounted_cash":2820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429}]}]},{"description":"Liner/acet R3 Xlpe #7133-2756","code_information":[{"code":"3250850","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1429,"maximum":3910,"gross_charge":3760,"discounted_cash":2820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429}]}]},{"description":"Ctv Abdomen And Pelvis","code_information":[{"code":"4181241-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74174","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1427,"maximum":3904,"gross_charge":3754,"discounted_cash":2816,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1427},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3904},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2635},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2891},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1427}]}]},{"description":"Shell/hemi 54mm #7133-5554","code_information":[{"code":"3251586","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":3899,"gross_charge":3749,"discounted_cash":2812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Shell/hemi 52mm #7133-5552","code_information":[{"code":"3251601","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":3899,"gross_charge":3749,"discounted_cash":2812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Shell/hemi 60mm #7133-5560","code_information":[{"code":"3251589","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":3899,"gross_charge":3749,"discounted_cash":2812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Shell/hemi 62mm #7133-5562","code_information":[{"code":"3251824","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":3899,"gross_charge":3749,"discounted_cash":2812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Plate-t Lcp 8 Hole Lft","code_information":[{"code":"3259741","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":3899,"gross_charge":3749,"discounted_cash":2812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Shell/hemi 56mm #7133-5556","code_information":[{"code":"3251758","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":3899,"gross_charge":3749,"discounted_cash":2812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Ct Facial W And Wo","code_information":[{"code":"4050039","type":"CDM"},{"code":"351","type":"RC"},{"code":"70488","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1423,"maximum":3895,"gross_charge":3745,"discounted_cash":2809,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3558},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3745},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3745},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3895},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3099},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3745},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3745},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2884},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2301},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3745},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1423}]}]},{"description":"Staple Nitinol 8x8","code_information":[{"code":"3700226","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1417,"maximum":3879,"gross_charge":3730,"discounted_cash":2798,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3544},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1417},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3879},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2618},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3096},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2872},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3730},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417}]}]},{"description":"Plate/lcp Distal Femur 13h Rt","code_information":[{"code":"3252037","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1417,"maximum":3877,"gross_charge":3728,"discounted_cash":2796,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1417},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3094},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417}]}]},{"description":"Head/ceramic Femoral 13/14","code_information":[{"code":"3251524","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1411,"maximum":3860,"gross_charge":3712,"discounted_cash":2784,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3526},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2488},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3860},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3526},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2858},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2281},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411}]}]},{"description":"Distal Biceps Kit","code_information":[{"code":"3700077","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1409,"maximum":3856,"gross_charge":3708,"discounted_cash":2781,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3708},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3708},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2603},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3068},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3708},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3708},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3078},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3708},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1409}]}]},{"description":"Plate/wrist Fusion #02.110.151","code_information":[{"code":"3259852","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1408,"maximum":3852,"gross_charge":3704,"discounted_cash":2778,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2483},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1408},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3852},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3074},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2852},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3334},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1408}]}]},{"description":"Puraply Am 3 X 4 Cm","code_information":[{"code":"3700224","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4196","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1406,"maximum":3849,"gross_charge":3701,"discounted_cash":2776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3516},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2481},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3849},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3062},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3072},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3701},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1406}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ct Cerv Spine Wo","code_information":[{"code":"4050098-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72125","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1405,"maximum":3846,"gross_charge":3698,"discounted_cash":2774,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3513},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1405},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3846},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2596},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3060},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3069},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2847},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1405}]}]},{"description":"Altrx+4 Neut 36idx52od","code_information":[{"code":"3251153","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1404,"maximum":3844,"gross_charge":3696,"discounted_cash":2772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3844},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2595},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3058},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3068},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404}]}]},{"description":"Nail/tibia 10mm Tican #04.004.443s","code_information":[{"code":"3250165","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1404,"maximum":3842,"gross_charge":3694,"discounted_cash":2771,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404}]}]},{"description":"Nail/tibial Cannulated #04.004.440s","code_information":[{"code":"3251617","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1404,"maximum":3842,"gross_charge":3694,"discounted_cash":2771,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404}]}]},{"description":"Nail/tibial Cannulated Ti 9mm","code_information":[{"code":"3251863","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1404,"maximum":3842,"gross_charge":3694,"discounted_cash":2771,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404}]}]},{"description":"Mr Spine Cerv Wo","code_information":[{"code":"4180106-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72141","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1403,"maximum":3841,"gross_charge":3693,"discounted_cash":2770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3508},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1403},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3508},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1403},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1403}]}]},{"description":"Mr Spine Thor Wo","code_information":[{"code":"4180108-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72146","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1403,"maximum":3841,"gross_charge":3693,"discounted_cash":2770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3508},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1403},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3508},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1403},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1403}]}]},{"description":"Biopsy exam of large bowel using an endoscope","code_information":[{"code":"CP17543256209717733","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1401,"maximum":3833,"gross_charge":3686,"discounted_cash":2765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1401},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3833},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3050},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2838},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3686},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1401}]}]},{"description":"Liner/acet #7133-3395","code_information":[{"code":"3259423","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259423","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1400,"maximum":3832,"gross_charge":3685,"discounted_cash":2764,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1400},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3832},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2837},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400}]}]},{"description":"Liner/acet #7133-3396","code_information":[{"code":"3259295","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259295","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1400,"maximum":3832,"gross_charge":3685,"discounted_cash":2764,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1400},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3832},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2837},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400}]}]},{"description":"Shell/acet 54mm #7133-6454","code_information":[{"code":"3259405","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1400,"maximum":3832,"gross_charge":3685,"discounted_cash":2764,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1400},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3832},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2837},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400}]}]},{"description":"Plate/clavicle 6 Hole Lft 02.112.081","code_information":[{"code":"3250576","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1398,"maximum":3825,"gross_charge":3678,"discounted_cash":2759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3494},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1398},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3825},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2582},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3053},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398}]}]},{"description":"Shell/acet 50mm #7133-6450","code_information":[{"code":"3259366","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259366","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1397,"maximum":3823,"gross_charge":3676,"discounted_cash":2757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Shell/acet 52mm #7133-6452","code_information":[{"code":"3259381","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1397,"maximum":3823,"gross_charge":3676,"discounted_cash":2757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Shell/acet 56mm #7133-6456","code_information":[{"code":"3259397","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1397,"maximum":3823,"gross_charge":3676,"discounted_cash":2757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Shell/acet 58mm #7133-6458","code_information":[{"code":"3259361","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1397,"maximum":3823,"gross_charge":3676,"discounted_cash":2757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Shell/acet Sz-g #7133-6460","code_information":[{"code":"3259525","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1397,"maximum":3823,"gross_charge":3676,"discounted_cash":2757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Plate/lcp Prox Lat Tibia 5h/140 Rt","code_information":[{"code":"3700965","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1395,"maximum":3819,"gross_charge":3672,"discounted_cash":2754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1395},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3048},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3672},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1395}]}]},{"description":"Removal of gallbladder using an endoscope","code_information":[{"code":"3281129","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"47562","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1394,"maximum":3815,"gross_charge":3668,"discounted_cash":2751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3815},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2254},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394}]}]},{"description":"Fulvestrant 250 Mg / 5 Ml Syringe","code_information":[{"code":"4077263","type":"CDM"},{"code":"636","type":"RC"},{"code":"70121146302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3812,"gross_charge":3665,"discounted_cash":2749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3482},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2457},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3032},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3299},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Closed Tx Lower Leg Fx Pf","code_information":[{"code":"3269881","type":"CDM"},{"code":"450","type":"RC"},{"code":"27825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1392,"maximum":3810,"gross_charge":3663,"discounted_cash":2747,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3040},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392}]}]},{"description":"Closed Tx Supr/transcond Humer Fx W/ Pf","code_information":[{"code":"3269880","type":"CDM"},{"code":"450","type":"RC"},{"code":"24535","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1392,"maximum":3810,"gross_charge":3663,"discounted_cash":2747,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3040},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3663},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392}]}]},{"description":"Mr Spine Lumbar W And Wo","code_information":[{"code":"4180119-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72158","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1390,"maximum":3805,"gross_charge":3659,"discounted_cash":2744,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3805},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390}]}]},{"description":"Mr Spine Thor W And Wo","code_information":[{"code":"4180120-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72157","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1390,"maximum":3805,"gross_charge":3659,"discounted_cash":2744,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3805},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390}]}]},{"description":"Capio Slim","code_information":[{"code":"3252051","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2631","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1389,"maximum":3800,"gross_charge":3654,"discounted_cash":2741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3471},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1389},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3654},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3654},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3654},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3654},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3654},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1389}]}]},{"description":"Venography Bilat","code_information":[{"code":"4040228-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"75822","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1385,"maximum":3792,"gross_charge":3646,"discounted_cash":2735,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3017},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3026},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2240},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1385}]}]},{"description":"Norian Drillable Inject 5cc","code_information":[{"code":"3700205","type":"CDM"},{"code":"278","type":"RC"},{"code":"C9899","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1380,"maximum":3777,"gross_charge":3632,"discounted_cash":2724,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1380},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3777},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3450},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3015},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2797},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1380}]}]},{"description":"Cath/uterine Balloon Therapy #Tc003","code_information":[{"code":"3259497","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259497","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1378,"maximum":3772,"gross_charge":3627,"discounted_cash":2720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3001},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2793},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2229},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378}]}]},{"description":"Endoscopy2 Nurse 91-120","code_information":[{"code":"3280208","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1378,"maximum":3770,"gross_charge":3625,"discounted_cash":2719,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2430},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3770},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2999},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1378}]}]},{"description":"Plate T W/comp 4h","code_information":[{"code":"3701146","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1376,"maximum":3767,"gross_charge":3622,"discounted_cash":2717,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3006},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376}]}]},{"description":"Insert/tibial Fixed Bearing #1581-23-108","code_information":[{"code":"3251373","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1376,"maximum":3766,"gross_charge":3621,"discounted_cash":2716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2427},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2542},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2788},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376}]}]},{"description":"Insert/tibial Fixed Bearing #1581-23-110","code_information":[{"code":"3251455","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1376,"maximum":3766,"gross_charge":3621,"discounted_cash":2716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2427},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2542},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2788},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376}]}]},{"description":"Insert/tibial Fixed Bearing #1581-24-108","code_information":[{"code":"3251111","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1376,"maximum":3766,"gross_charge":3621,"discounted_cash":2716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2427},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2542},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3440},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2788},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3621},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376}]}]},{"description":"Echo 2 W/ventralight 11cm","code_information":[{"code":"3700158","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1374,"maximum":3762,"gross_charge":3617,"discounted_cash":2713,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3617},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3617},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3762},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2539},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3617},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3617},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3002},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2785},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2223},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3617},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1374}]}]},{"description":"48mm Od Acetabular Liner","code_information":[{"code":"3700106","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1373,"maximum":3759,"gross_charge":3614,"discounted_cash":2711,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373}]}]},{"description":"Reflection Acetabular Liners +4 58-60mm","code_information":[{"code":"3700119","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1373,"maximum":3759,"gross_charge":3614,"discounted_cash":2711,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373}]}]},{"description":"Immune Globulin (Gamunex) 10 Gram","code_information":[{"code":"4078944","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533080071","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3752,"gross_charge":3608,"discounted_cash":2706,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3428},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3752},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2995},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2778},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3247},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371}]}],"drug_information":{"unit":10,"type":"GR"}},{"description":"Reflection Xlpe Actabular Liners 36 20de","code_information":[{"code":"3700137","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1371,"maximum":3751,"gross_charge":3607,"discounted_cash":2705,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":2418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3751},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2532},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2984},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2994},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371}]}]},{"description":"Liner/acetabular #1221-32-450","code_information":[{"code":"3251048","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1368,"maximum":3744,"gross_charge":3600,"discounted_cash":2700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3420},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1368},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3744},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2988},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2212},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1368},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1368}]}]},{"description":"Paragard Copper Iud","code_information":[{"code":"4070162","type":"CDM"},{"code":"636","type":"RC"},{"code":"50419042201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3732,"gross_charge":3588,"discounted_cash":2691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3588},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3588},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3588},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3588},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2978},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2763},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3229},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3588},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1363}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Plate/postriolateral  #241.273","code_information":[{"code":"3250891","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1360,"maximum":3723,"gross_charge":3580,"discounted_cash":2685,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2757},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360}]}]},{"description":"Plate/postriolateral 3hole #241.272","code_information":[{"code":"3250448","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1360,"maximum":3723,"gross_charge":3580,"discounted_cash":2685,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2757},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360}]}]},{"description":"Liner/acet Optifix #7133-3583","code_information":[{"code":"3250889","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3250889","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1360,"maximum":3721,"gross_charge":3578,"discounted_cash":2684,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2398},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2970},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360}]}]},{"description":"Mesh/c-qur  Mosaic Coated #31136","code_information":[{"code":"3251099","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251099","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1355,"maximum":3709,"gross_charge":3566,"discounted_cash":2675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3709},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2746},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355}]}]},{"description":"Plate Evos 2.7mm Y-tine 5 Hole Sft","code_information":[{"code":"3700494","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1355,"maximum":3709,"gross_charge":3566,"discounted_cash":2675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3709},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2746},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355}]}]},{"description":"Plate Evos 2.7mm Y-tine 7 Hole Sft","code_information":[{"code":"3700477","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1355,"maximum":3709,"gross_charge":3566,"discounted_cash":2675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3709},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2746},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3566},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355}]}]},{"description":"Ct Lumbar Spine W","code_information":[{"code":"4050097","type":"CDM"},{"code":"352","type":"RC"},{"code":"72132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1353,"maximum":3703,"gross_charge":3561,"discounted_cash":2671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2956},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Nm Spect/ct","code_information":[{"code":"4060323","type":"CDM"},{"code":"341","type":"RC"},{"code":"78830","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1353,"maximum":3703,"gross_charge":3561,"discounted_cash":2671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2956},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Nm Datscan","code_information":[{"code":"4060337","type":"CDM"},{"code":"341","type":"RC"},{"code":"78803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1353,"maximum":3703,"gross_charge":3561,"discounted_cash":2671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2956},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3561},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Gammagard Liq 10% 10gm","code_information":[{"code":"4070230","type":"CDM"},{"code":"636","type":"RC"},{"code":"94427","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1350,"maximum":3694,"gross_charge":3552,"discounted_cash":2664,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2494},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2948},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2735},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1350}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"System/distal Biceps Repair #Ar2260","code_information":[{"code":"3259915","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1349,"maximum":3693,"gross_charge":3551,"discounted_cash":2663,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1349},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2947},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349}]}]},{"description":"Harmonic Ace 36cm","code_information":[{"code":"3258934","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1347,"maximum":3688,"gross_charge":3546,"discounted_cash":2660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1347},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3546},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3546},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3546},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3546},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2943},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3546},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347}]}]},{"description":"Implant/breast 450cc","code_information":[{"code":"3252104","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1789","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1340,"maximum":3666,"gross_charge":3525,"discounted_cash":2644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3349},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2363},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2917},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2926},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2166},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1340}]}]},{"description":"Nail/ti Cann Femoral 04.013.552s","code_information":[{"code":"3251444","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1336,"maximum":3656,"gross_charge":3515,"discounted_cash":2636,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3339},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2356},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1336},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3656},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3339},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2917},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1336}]}]},{"description":"Head/oxinium Femoral 12/14 #7134-3604","code_information":[{"code":"3259436","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1332,"maximum":3646,"gross_charge":3506,"discounted_cash":2630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332}]}]},{"description":"Head/oxinium Femoral 12/14 #7134-3608","code_information":[{"code":"3250044","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1332,"maximum":3646,"gross_charge":3506,"discounted_cash":2630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332}]}]},{"description":"Head/oxinium Femoral 36mm 12/14","code_information":[{"code":"3252113","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1332,"maximum":3646,"gross_charge":3506,"discounted_cash":2630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332}]}]},{"description":"Head/femoral #7134-3204","code_information":[{"code":"3258178","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3258178","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1332,"maximum":3646,"gross_charge":3506,"discounted_cash":2630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332}]}]},{"description":"Tendon","code_information":[{"code":"3251540","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251540","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1332,"maximum":3646,"gross_charge":3506,"discounted_cash":2630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332}]}]},{"description":"Head/oxinium Femoral 12/14 #7134-3603","code_information":[{"code":"3259571","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1332,"maximum":3646,"gross_charge":3506,"discounted_cash":2630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332}]}]},{"description":"Insert Or30 Dm Xlpe 28/46","code_information":[{"code":"3700661","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1331,"maximum":3642,"gross_charge":3502,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3642},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2898},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2697},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2152},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331}]}]},{"description":"Insert 0r30 Dmxpe 28/48","code_information":[{"code":"3700659","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1331,"maximum":3642,"gross_charge":3502,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3642},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2898},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2697},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2152},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331}]}]},{"description":"Plate Baby Gorilla Straight 6h","code_information":[{"code":"3701113","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1326,"maximum":3630,"gross_charge":3490,"discounted_cash":2618,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3630},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2897},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2687},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326}]}]},{"description":"Mr Spine Cerv With","code_information":[{"code":"4180107","type":"CDM"},{"code":"610","type":"RC"},{"code":"72142","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1326,"maximum":3629,"gross_charge":3489,"discounted_cash":2617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3489},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3489},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3629},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3489},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3489},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2896},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2687},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3489},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326}]}]},{"description":"Liner/acet #7133-3397","code_information":[{"code":"3259336","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259336","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1325,"maximum":3628,"gross_charge":3488,"discounted_cash":2616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2886},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3488},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325}]}]},{"description":"Platform/tibial Tray Sz-3 #1294-33-130","code_information":[{"code":"3251352","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1324,"maximum":3622,"gross_charge":3483,"discounted_cash":2612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1324},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3483},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3483},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3483},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3483},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2891},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3483},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1324}]}]},{"description":"Shell/acet Sz-h #7133-6462","code_information":[{"code":"3259435","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1322,"maximum":3617,"gross_charge":3478,"discounted_cash":2609,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3304},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1322},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3478},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3478},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3478},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3478},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3478},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1322}]}]},{"description":"Echo 2w Ventralight 20cm","code_information":[{"code":"3700154","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1321,"maximum":3615,"gross_charge":3476,"discounted_cash":2607,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1321},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2440},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2876},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2885},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3476},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321}]}]},{"description":"Plate 3.5 Lcp #241.284","code_information":[{"code":"3259561","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1319,"maximum":3611,"gross_charge":3472,"discounted_cash":2604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2327},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1319},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3472},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3472},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3611},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2437},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2873},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3472},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3472},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1319},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3472},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1319}]}]},{"description":"Plate/condylar Rt 4.5lcp #222.658","code_information":[{"code":"3250301","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1316,"maximum":3600,"gross_charge":3462,"discounted_cash":2597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3289},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1316},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3600},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3289},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2864},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2873},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2127},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1316}]}]},{"description":"Head/unipolar 57mm #12-6657","code_information":[{"code":"3257662","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1311,"maximum":3587,"gross_charge":3449,"discounted_cash":2587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3449},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3449},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3587},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2854},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3449},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3449},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3449},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1311}]}]},{"description":"Plate/ Mtp Fusion #02.211.239","code_information":[{"code":"3251077","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1308,"maximum":3581,"gross_charge":3443,"discounted_cash":2582,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2308},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1308},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3581},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2849},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2858},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3099},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308}]}]},{"description":"Plate/5* Right #02.211.232","code_information":[{"code":"3250945","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1308,"maximum":3581,"gross_charge":3443,"discounted_cash":2582,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2308},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1308},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3581},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2849},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2858},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3099},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3443},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308}]}]},{"description":"Screw Lopro 4.5mm X 45mm","code_information":[{"code":"3700421","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1306,"maximum":3574,"gross_charge":3437,"discounted_cash":2578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1306},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3437},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3437},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3437},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3437},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1306},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3437},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306}]}]},{"description":"Nail/trochanteric #456.318s","code_information":[{"code":"3259764","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1305,"maximum":3572,"gross_charge":3435,"discounted_cash":2576,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1305},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2851},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2645},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3092},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Insert/articular Size 3-4 #7145-3277","code_information":[{"code":"3251623","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1303,"maximum":3567,"gross_charge":3430,"discounted_cash":2573,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1303},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2847},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303}]}]},{"description":"Insert/articular Size 7-8 9mm","code_information":[{"code":"3701100","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1303,"maximum":3567,"gross_charge":3430,"discounted_cash":2573,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1303},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2847},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303}]}]},{"description":"Implnt Spine Canal Cath W/o Laminec","code_information":[{"code":"4080261","type":"CDM"},{"code":"360","type":"RC"},{"code":"62350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1300,"maximum":3558,"gross_charge":3421,"discounted_cash":2566,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2293},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3421},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3421},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3421},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3421},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2839},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2634},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3079},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3421},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1300}]}]},{"description":"Plate/ Distal Radius #02.111.621","code_information":[{"code":"3250310","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1297,"maximum":3551,"gross_charge":3414,"discounted_cash":2561,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1297},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3414},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3414},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2397},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2825},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3414},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3414},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2629},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3073},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3414},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297}]}]},{"description":"Nail/femoral Recon 11mm #04.003.461s","code_information":[{"code":"3251958","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1296,"maximum":3547,"gross_charge":3411,"discounted_cash":2558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3070},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"1mm Tilateral Entry Recon Nail","code_information":[{"code":"3700025","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1296,"maximum":3547,"gross_charge":3411,"discounted_cash":2558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3070},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Nm Hepatobiliary Imaging","code_information":[{"code":"4060310","type":"CDM"},{"code":"341","type":"RC"},{"code":"78226","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1295,"maximum":3543,"gross_charge":3407,"discounted_cash":2555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3237},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2284},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3543},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2623},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295}]}]},{"description":"Allomatrix 5cc","code_information":[{"code":"3258577","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1294,"maximum":3540,"gross_charge":3404,"discounted_cash":2553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3540},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2621},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3064},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3404},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1294}]}]},{"description":"..Blood Culture Id Biofire Pcr","code_information":[{"code":"4017319","type":"CDM"},{"code":"300","type":"RC"},{"code":"87150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1292,"maximum":3537,"gross_charge":3401,"discounted_cash":2551,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3537},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3401},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292}]}]},{"description":"Plate 16hole Curved 4.5mmx300mm #226.662","code_information":[{"code":"3258725","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1291,"maximum":3533,"gross_charge":3397,"discounted_cash":2548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1291},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3533},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2385},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1291}]}]},{"description":"Mastectomy, Simple, Complete","code_information":[{"code":"3281079","type":"CDM"},{"code":"360","type":"RC"},{"code":"19303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1288,"maximum":3526,"gross_charge":3390,"discounted_cash":2543,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3221},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1288},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3526},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288}]}]},{"description":"Handpiece/disp Minerva #Min3pak","code_information":[{"code":"3251668","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251668","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1288,"maximum":3526,"gross_charge":3390,"discounted_cash":2543,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3221},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1288},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3526},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288}]}]},{"description":"Plate/medial Distal 3.5 #239.900","code_information":[{"code":"3250161","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":3514,"gross_charge":3379,"discounted_cash":2534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284}]}]},{"description":"Hydroxocobalamin 5 Gm Vial","code_information":[{"code":"4070110","type":"CDM"},{"code":"636","type":"RC"},{"code":"38779253303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3514,"gross_charge":3379,"discounted_cash":2534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3379},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Baseplate Tibial Size-4 Rt#71420184","code_information":[{"code":"3256801","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size-3 Rt","code_information":[{"code":"3257008","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size-6 Rt 7142-0188","code_information":[{"code":"3256897","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size-7 Rt","code_information":[{"code":"3256822","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size-5 Lft","code_information":[{"code":"3256918","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size-4 Lft","code_information":[{"code":"3256815","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate/tibial Sz-6 Lft 7142-0170","code_information":[{"code":"3257017","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size 7 Lft #7142-0172","code_information":[{"code":"3256809","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Sz 8 Lft","code_information":[{"code":"3257374","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Baseplate Tibial Size-2 Rt","code_information":[{"code":"3259375","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1282,"maximum":3509,"gross_charge":3374,"discounted_cash":2531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282}]}]},{"description":"Nail/2.5-3.5mm 35mm Straight","code_information":[{"code":"3700893","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1281,"maximum":3507,"gross_charge":3372,"discounted_cash":2529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1281},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3372},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3372},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2367},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3372},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3372},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2799},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2596},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3372},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281}]}]},{"description":"Plate/ Distal Radius #02.111.620","code_information":[{"code":"3251033","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1280,"maximum":3504,"gross_charge":3369,"discounted_cash":2527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2365},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3032},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280}]}]},{"description":"Or1 Nurse 91-120","code_information":[{"code":"3210205","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1280,"maximum":3503,"gross_charge":3368,"discounted_cash":2526,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3503},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2795},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280}]}]},{"description":"0delivery/labor","code_information":[{"code":"3190111","type":"CDM"},{"code":"722","type":"RC"},{"code":"CP3190111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1279,"maximum":3501,"gross_charge":3366,"discounted_cash":2525,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1279},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3366},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3366},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3501},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2363},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3366},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3366},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2794},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3029},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3366},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279}]}]},{"description":"Baseplate Tibial Size-3 Lft","code_information":[{"code":"3256833","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1279,"maximum":3500,"gross_charge":3365,"discounted_cash":2524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1279},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3500},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2793},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3029},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279}]}]},{"description":"Anchor Dx Knotless 4.75mm","code_information":[{"code":"3700895","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1271,"maximum":3480,"gross_charge":3346,"discounted_cash":2510,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2768},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2056},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1271}]}]},{"description":"Screw Mini Acutrack 22mm","code_information":[{"code":"3700849","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1271,"maximum":3480,"gross_charge":3346,"discounted_cash":2510,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2768},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2056},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1271}]}]},{"description":"Liner/acet R3 Xlpe 36x60mm 71332760","code_information":[{"code":"3251588","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Liner/acet R3 Xlpe 36x62mm","code_information":[{"code":"3251823","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Acet Lnr R3 Deg 36x58mm","code_information":[{"code":"3700961","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Liner Acet R3 0deg Xlpe 36x50mm","code_information":[{"code":"3700883","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Liner/acet R3 Xlpe 0 Deg 36x64mm","code_information":[{"code":"3700852","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Acet Lnr R3 Deg 36x56mm","code_information":[{"code":"3700962","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Liner/acet R3 36x54mm 7133-5754","code_information":[{"code":"3701091","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1268,"maximum":3470,"gross_charge":3337,"discounted_cash":2503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2770},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268}]}]},{"description":"Plate  #241.285","code_information":[{"code":"3250892","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1267,"maximum":3466,"gross_charge":3333,"discounted_cash":2500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2566},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1267}]}]},{"description":"Implant/breast Memory Gel #350-1754bc","code_information":[{"code":"3250612","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1789","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1266,"maximum":3465,"gross_charge":3332,"discounted_cash":2499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1266},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2757},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2566},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2999},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1266}]}]},{"description":"Accessory Kit Ams 700","code_information":[{"code":"3700382","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1813","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1265,"maximum":3463,"gross_charge":3330,"discounted_cash":2498,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3330},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3330},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2338},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3330},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3330},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2997},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3330},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265}]}]},{"description":"Liner/acet Altrix 32mm #1221-32-050","code_information":[{"code":"3251312","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1265,"maximum":3462,"gross_charge":3329,"discounted_cash":2497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265}]}]},{"description":"Shell/acet R3 3-hole 64mm","code_information":[{"code":"3700853","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1265,"maximum":3461,"gross_charge":3328,"discounted_cash":2496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2995},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265}]}]},{"description":"Ct Thoracic Spine Wo","code_information":[{"code":"4050094","type":"CDM"},{"code":"352","type":"RC"},{"code":"72128","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1263,"maximum":3456,"gross_charge":3323,"discounted_cash":2492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3323},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3323},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3456},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3323},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3323},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2991},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3323},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Topaz Ez Microdebirder Coblation Wand If","code_information":[{"code":"3700270","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700270","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1253,"maximum":3430,"gross_charge":3298,"discounted_cash":2474,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2729},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2539},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"Mr Abdomen W And Wo","code_information":[{"code":"4180141-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74183","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1251,"maximum":3423,"gross_charge":3291,"discounted_cash":2468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1251},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3423},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251}]}]},{"description":"Mr Mrcp W  Wo","code_information":[{"code":"4180181-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74183","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1251,"maximum":3423,"gross_charge":3291,"discounted_cash":2468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1251},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3423},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251}]}]},{"description":"Screw Cannulated 2.0mmx12mm","code_information":[{"code":"3700496","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1246,"maximum":3409,"gross_charge":3278,"discounted_cash":2459,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1246},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2301},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2721},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2950},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3278},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1246}]}]},{"description":"Mr Pelvis (Prostate) W/wo","code_information":[{"code":"4181243-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72197","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1245,"maximum":3407,"gross_charge":3276,"discounted_cash":2457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2300},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245}]}]},{"description":"Mr Pelvis Gi Gu Gyn W And Wo","code_information":[{"code":"4181223-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72197","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1245,"maximum":3407,"gross_charge":3276,"discounted_cash":2457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2300},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245}]}]},{"description":"Mr Pelvis  Bones Joints Muscles W Wo","code_information":[{"code":"4181225-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72197","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1245,"maximum":3407,"gross_charge":3276,"discounted_cash":2457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2300},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245}]}]},{"description":"Ct Thoracic Spine W And Wo","code_information":[{"code":"4050026-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72130","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1243,"maximum":3402,"gross_charge":3271,"discounted_cash":2453,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1243},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2296},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2944},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1243}]}]},{"description":"CT scan of pelvis with contrast","code_information":[{"code":"4181226-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"72193","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1240,"maximum":3394,"gross_charge":3263,"discounted_cash":2447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1240},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2708},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2005},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2937},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240}]}]},{"description":"CT scan of pelvis with contrast","code_information":[{"code":"4181229-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"72193","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1240,"maximum":3394,"gross_charge":3263,"discounted_cash":2447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1240},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2708},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2005},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2937},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240}]}]},{"description":"CT scan of pelvis with contrast","code_information":[{"code":"4050092-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"72193","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1240,"maximum":3394,"gross_charge":3263,"discounted_cash":2447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1240},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2708},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2005},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2937},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240}]}]},{"description":"Darbepoetin 100 Mcg / 0.5 Ml","code_information":[{"code":"4078149","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513002504","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3381,"gross_charge":3251,"discounted_cash":2438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1235},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2926},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Nm Thyroid Uptake And Scan","code_information":[{"code":"4060319","type":"CDM"},{"code":"341","type":"RC"},{"code":"78014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1235,"maximum":3380,"gross_charge":3250,"discounted_cash":2438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1235},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3380},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2925},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235}]}]},{"description":"Baseplate Tibial Size-5 Rt","code_information":[{"code":"3256956","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1233,"maximum":3374,"gross_charge":3244,"discounted_cash":2433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233}]}]},{"description":"Echo 2 W/ventralight 10x15cm","code_information":[{"code":"3700159","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1233,"maximum":3374,"gross_charge":3244,"discounted_cash":2433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233}]}]},{"description":"Implant/breast  #350-3001bc","code_information":[{"code":"3250444","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1789","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1233,"maximum":3374,"gross_charge":3244,"discounted_cash":2433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233}]}]},{"description":"Implant/breast #350-4501bc","code_information":[{"code":"3250563","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1789","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1233,"maximum":3374,"gross_charge":3244,"discounted_cash":2433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233}]}]},{"description":"Implant/breast Memory Gel #350-8001","code_information":[{"code":"3250381","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8600","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1233,"maximum":3374,"gross_charge":3244,"discounted_cash":2433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2920},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233}]}]},{"description":"Plate/fusion #02.211.246","code_information":[{"code":"3251259","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Plate/fusion Tmt","code_information":[{"code":"3251757","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251757","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Plate/lcp Lft 10* Medium","code_information":[{"code":"3250554","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Mr Arthrogram Upper Joint","code_information":[{"code":"4180130-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73222","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Mr Upper Joint Left Wo Contrast","code_information":[{"code":"4180170-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73221","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Mr Upper Joint Left With Contrast","code_information":[{"code":"4180172-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73222","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Mr Upper Joint Right Wo Contrast","code_information":[{"code":"4180171-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73221","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Mr Upper Joint Right With Contrast","code_information":[{"code":"4180173-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73222","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1232,"maximum":3373,"gross_charge":3243,"discounted_cash":2432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2919},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232}]}]},{"description":"Plate/dist Posterolateral Hum 7h-rt","code_information":[{"code":"3700978","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1229,"maximum":3362,"gross_charge":3233,"discounted_cash":2425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2167},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1229},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1229}]}]},{"description":"Plate/clavicle 8-h Lft 02.112.031","code_information":[{"code":"3251446","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1226,"maximum":3356,"gross_charge":3227,"discounted_cash":2420,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3356},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3066},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1226}]}]},{"description":"Plate/ Va Lcp 2.4 #02.111.541","code_information":[{"code":"3251463","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1222,"maximum":3346,"gross_charge":3217,"discounted_cash":2413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2477},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222}]}]},{"description":"Plate/lcp 1st Mtp Fusion #02.211.240","code_information":[{"code":"3250414","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1222,"maximum":3344,"gross_charge":3215,"discounted_cash":2411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2668},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222}]}]},{"description":"Kit/novasure Endometrial","code_information":[{"code":"3250897","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1222,"maximum":3344,"gross_charge":3215,"discounted_cash":2411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2668},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1222}]}]},{"description":"Mr Chest W And Wo","code_information":[{"code":"4180132","type":"CDM"},{"code":"610","type":"RC"},{"code":"71552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1213,"maximum":3320,"gross_charge":3192,"discounted_cash":2394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3032},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1213},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2241},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3032},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2649},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2873},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213}]}]},{"description":"Fast-fix Meniscal Repr Curved #72202468","code_information":[{"code":"3251134","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":3316,"gross_charge":3188,"discounted_cash":2391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3029},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2869},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211}]}]},{"description":"Fomepizole 1.5 Gm Inj","code_information":[{"code":"4077177","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457021102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3307,"gross_charge":3180,"discounted_cash":2385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3021},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1208},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3021},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2639},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2862},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1208}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Mesh/ C-qur Tacshield 6x8 #31633","code_information":[{"code":"3250372","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1207,"maximum":3304,"gross_charge":3177,"discounted_cash":2383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3018},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3018},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2629},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2637},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1207}]}]},{"description":"Ct Lumbar Spine W And Wo","code_information":[{"code":"4050090","type":"CDM"},{"code":"352","type":"RC"},{"code":"72133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1204,"maximum":3296,"gross_charge":3169,"discounted_cash":2377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1204}]}]},{"description":"Ct Cerv Spine W And Wo","code_information":[{"code":"4181221-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72127","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1204,"maximum":3296,"gross_charge":3169,"discounted_cash":2377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1204}]}]},{"description":"Temsirolimus 25 Mg Vial","code_information":[{"code":"4078023","type":"CDM"},{"code":"636","type":"RC"},{"code":"81179","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":1202,"maximum":3288,"gross_charge":3162,"discounted_cash":2372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1202}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Membrane Salera Mini 80mg","code_information":[{"code":"3700330","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1201,"maximum":3287,"gross_charge":3161,"discounted_cash":2371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2845},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201}]}]},{"description":"Valve/ahmed #Fp7","code_information":[{"code":"3258580","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1783","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1201,"maximum":3286,"gross_charge":3160,"discounted_cash":2370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3002},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3286},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3002},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2433},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201}]}]},{"description":"Mr Face Neck W And Wo","code_information":[{"code":"4180144","type":"CDM"},{"code":"610","type":"RC"},{"code":"70543","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1200,"maximum":3284,"gross_charge":3158,"discounted_cash":2369,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2621},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1200}]}]},{"description":"MRI scan of lower spinal canal","code_information":[{"code":"4180110-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72148","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1200,"maximum":3283,"gross_charge":3157,"discounted_cash":2368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2999},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2999},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1200}]}]},{"description":"Insert/genesis Ii  9mm  Sz3-4 #7142-1508","code_information":[{"code":"3250342","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1199,"maximum":3281,"gross_charge":3155,"discounted_cash":2366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199}]}]},{"description":"Insert/articular Sz5-6 9mm #7142-1515","code_information":[{"code":"3250548","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1199,"maximum":3281,"gross_charge":3155,"discounted_cash":2366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199}]}]},{"description":"Ct Abd W  Wo","code_information":[{"code":"4050005-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74170","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1196,"maximum":3273,"gross_charge":3147,"discounted_cash":2360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2990},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2612},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196}]}]},{"description":"Plate/clavicle 7-h Rt 02.112.028","code_information":[{"code":"3251642","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1195,"maximum":3272,"gross_charge":3146,"discounted_cash":2360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2989},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2603},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2422},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195}]}]},{"description":"Plate/lcp Clavicle 7-h #02.112.083","code_information":[{"code":"3250540","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1195,"maximum":3272,"gross_charge":3146,"discounted_cash":2360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2989},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2603},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2422},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195}]}]},{"description":"Liner/acet R3 Xlpe #7133-2758","code_information":[{"code":"3251656","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1191,"maximum":3259,"gross_charge":3134,"discounted_cash":2351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2601},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191}]}]},{"description":"Liner/acet 32mmx48mm","code_information":[{"code":"3251931","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1191,"maximum":3259,"gross_charge":3134,"discounted_cash":2351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2601},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191}]}]},{"description":"Liner/acet 32mmx50mm #7133-9550","code_information":[{"code":"3251224","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1191,"maximum":3259,"gross_charge":3134,"discounted_cash":2351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2601},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191}]}]},{"description":"Plate/3.5 Olecranon Right","code_information":[{"code":"3250411","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1189,"maximum":3255,"gross_charge":3130,"discounted_cash":2348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2974},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1189},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2974},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2410},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1189},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1189}]}]},{"description":"Shell/hemi 58mm #7133-5558","code_information":[{"code":"3251658","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1188,"maximum":3250,"gross_charge":3125,"discounted_cash":2344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188}]}]},{"description":"Shell/hemi 48mm","code_information":[{"code":"3251930","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1188,"maximum":3250,"gross_charge":3125,"discounted_cash":2344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188}]}]},{"description":"Shell/hemi 50mm #7133-5550","code_information":[{"code":"3251659","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1188,"maximum":3250,"gross_charge":3125,"discounted_cash":2344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188}]}]},{"description":"Ramucirumab 100 Mg Vial","code_information":[{"code":"4070008","type":"CDM"},{"code":"636","type":"RC"},{"code":"27669","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":1185,"maximum":3243,"gross_charge":3118,"discounted_cash":2339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2401},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2806},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1185}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Summit Basic Cemented Sz5 #1570-06-110","code_information":[{"code":"3251612","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1184,"maximum":3242,"gross_charge":3117,"discounted_cash":2338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2961},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184}]}]},{"description":"Ct Abd With","code_information":[{"code":"4050004-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74160","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1184,"maximum":3240,"gross_charge":3115,"discounted_cash":2336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2399},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184}]}]},{"description":"Head/fem Oxinium 20mm+8 #7134-2808","code_information":[{"code":"3258537","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1183,"maximum":3238,"gross_charge":3113,"discounted_cash":2335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1183},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2584},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183}]}]},{"description":"Head/fem 12/14 36+0","code_information":[{"code":"3259321","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1183,"maximum":3238,"gross_charge":3113,"discounted_cash":2335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1183},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2584},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183}]}]},{"description":"Plate/ Distal Radius #02.111.630","code_information":[{"code":"3250218","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1178,"maximum":3224,"gross_charge":3100,"discounted_cash":2325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178}]}]},{"description":"Plate/ Distal Radius Lft #02.111.631","code_information":[{"code":"3251449","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1178,"maximum":3224,"gross_charge":3100,"discounted_cash":2325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178}]}]},{"description":"Plate/va Lcp 2.4 #04.111.730","code_information":[{"code":"3251598","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1178,"maximum":3224,"gross_charge":3100,"discounted_cash":2325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178}]}]},{"description":"Plate Humeral 4h 2.7x3.5 Mm Va Med","code_information":[{"code":"3700353","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1178,"maximum":3224,"gross_charge":3100,"discounted_cash":2325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178}]}]},{"description":"Plate Humeral 4h 2.7x3.5mm Va Postlat","code_information":[{"code":"3700352","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1178,"maximum":3224,"gross_charge":3100,"discounted_cash":2325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178}]}]},{"description":"Fibertak Suture Anchor Dx #2 Mts Ar-8991","code_information":[{"code":"3700345","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1173,"maximum":3212,"gross_charge":3088,"discounted_cash":2316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2934},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2555},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2779},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3088},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173}]}]},{"description":"Insert/genesis Ii Sz 5-6 11mm #7142-1543","code_information":[{"code":"3250566","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1164,"maximum":3186,"gross_charge":3063,"discounted_cash":2297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1164},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3186},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2910},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2359},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164}]}]},{"description":"Insert/genesis Ii Sz 5-6 11mm #7142-1516","code_information":[{"code":"3251423","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251423","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1163,"maximum":3183,"gross_charge":3061,"discounted_cash":2296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1163},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163}]}]},{"description":"Patella/oval Dome 3-9 35mm #96-0101","code_information":[{"code":"3251094","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1162,"maximum":3181,"gross_charge":3059,"discounted_cash":2294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2539},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3059},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162}]}]},{"description":".Microdissection Laser Mayo","code_information":[{"code":"4017610-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88380","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1162,"maximum":3179,"gross_charge":3057,"discounted_cash":2293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2529},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3057},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162}]}]},{"description":"Shaving of shoulder bone using endoscope","code_information":[{"code":"3281357","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29826","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1161,"maximum":3177,"gross_charge":3055,"discounted_cash":2291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2902},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2750},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161}]}]},{"description":"Atezolizumab  Infusion","code_information":[{"code":"4070067","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242091701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3176,"gross_charge":3054,"discounted_cash":2291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2749},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1161}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cta Chest Pulm Embol","code_information":[{"code":"4050205-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"71275","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1157,"maximum":3166,"gross_charge":3044,"discounted_cash":2283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2892},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2892},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157}]}]},{"description":"Cta Chest Aorta","code_information":[{"code":"4050248-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"71275","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1157,"maximum":3166,"gross_charge":3044,"discounted_cash":2283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2892},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2892},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157}]}]},{"description":"Implant/breast Memory Gel #350-3501bc","code_information":[{"code":"3250318","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8600","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1156,"maximum":3164,"gross_charge":3042,"discounted_cash":2282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2890},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2890},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2738},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156}]}]},{"description":"Insert/genesis Ii Sz 7-8 9mm #7142-1522","code_information":[{"code":"3250072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1156,"maximum":3164,"gross_charge":3042,"discounted_cash":2282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2890},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2890},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2738},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156}]}]},{"description":"Plate/fusion #02.211.266","code_information":[{"code":"3251260","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1156,"maximum":3163,"gross_charge":3041,"discounted_cash":2281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156}]}]},{"description":"Mr Spine Thor With","code_information":[{"code":"4180109-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72147","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1156,"maximum":3163,"gross_charge":3041,"discounted_cash":2281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2524},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156}]}]},{"description":"Plate Clavicle Va-lcp 2.7","code_information":[{"code":"3700390","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1153,"maximum":3156,"gross_charge":3035,"discounted_cash":2276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153}]}]},{"description":"Putty Beast Injectible 2.5cc","code_information":[{"code":"3700915","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1153,"maximum":3156,"gross_charge":3035,"discounted_cash":2276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153}]}]},{"description":"Mr Upper Joint Left W And Wo Cont","code_information":[{"code":"4180166-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73223","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1153,"maximum":3156,"gross_charge":3035,"discounted_cash":2276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153}]}]},{"description":"Mr Upper Joint Right W And Wo Cont","code_information":[{"code":"4180169-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73223","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1153,"maximum":3156,"gross_charge":3035,"discounted_cash":2276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153}]}]},{"description":"Echo2 Positioning System 6x6 5991520","code_information":[{"code":"3700056","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1153,"maximum":3155,"gross_charge":3034,"discounted_cash":2276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2882},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153}]}]},{"description":"Nail/retrograde 13x36 #7116-0813","code_information":[{"code":"3257514","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3257514","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1153,"maximum":3154,"gross_charge":3033,"discounted_cash":2275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2881},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2033},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2881},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153}]}]},{"description":"Hcv Rna Geno 1 Ns3 Drug Resist Mayo","code_information":[{"code":"4017008","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1152,"maximum":3152,"gross_charge":3031,"discounted_cash":2273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2508},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3031},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1152}]}]},{"description":"Collar/standard 44","code_information":[{"code":"3251966","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1151,"maximum":3151,"gross_charge":3030,"discounted_cash":2273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3030},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3030},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3030},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3030},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3030},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1151}]}]},{"description":"Naltrexone 380 Mg Inj","code_information":[{"code":"4077904","type":"CDM"},{"code":"636","type":"RC"},{"code":"65757030001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3148,"gross_charge":3027,"discounted_cash":2270,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2876},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2876},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2724},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3027},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150}]}],"drug_information":{"unit":380,"type":"ME"}},{"description":"Nivolumab 40 Mg / 4 Ml Vial","code_information":[{"code":"4079093","type":"CDM"},{"code":"636","type":"RC"},{"code":"33772","type":"CPT","modifier":"11"}],"standard_charges":[{"setting":"outpatient","modifier_code":["11"],"minimum":1147,"maximum":3140,"gross_charge":3019,"discounted_cash":2264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3019},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3019},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3019},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3019},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3019},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1147}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Rituximab-pvvr 100 Mg Vial","code_information":[{"code":"4070056","type":"CDM"},{"code":"636","type":"RC"},{"code":"69023","type":"CPT","modifier":"801"}],"standard_charges":[{"setting":"outpatient","modifier_code":["801"],"minimum":1144,"maximum":3130,"gross_charge":3010,"discounted_cash":2258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2860},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2860},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Mr Brain With","code_information":[{"code":"4180103","type":"CDM"},{"code":"610","type":"RC"},{"code":"70552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1143,"maximum":3129,"gross_charge":3009,"discounted_cash":2257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2859},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2859},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2497},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2708},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143}]}]},{"description":"Tibial Bearing Ps 10x71/75mm #183640","code_information":[{"code":"3259863","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1142,"maximum":3125,"gross_charge":3005,"discounted_cash":2254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2705},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1142}]}]},{"description":"Plate/3.5 Olecranon Left #236.503s","code_information":[{"code":"3250431","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1141,"maximum":3123,"gross_charge":3003,"discounted_cash":2252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2853},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2853},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141}]}]},{"description":"Plate/clavicle 3.5lcp 7h #02.112.082","code_information":[{"code":"3250207","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1141,"maximum":3123,"gross_charge":3003,"discounted_cash":2252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2853},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2853},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3003},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141}]}]},{"description":"Baseplate Tibial Size-8 Rt","code_information":[{"code":"3257092","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1138,"maximum":3116,"gross_charge":2996,"discounted_cash":2247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Gns 11 Cmt Tibal Sz 2-0 Left","code_information":[{"code":"3258677","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1138,"maximum":3116,"gross_charge":2996,"discounted_cash":2247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Mr Cholangiopancreatography Wo","code_information":[{"code":"4180180-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74181","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1138,"maximum":3116,"gross_charge":2996,"discounted_cash":2247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Mr Abdomen Wo","code_information":[{"code":"4180117-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74181","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1138,"maximum":3116,"gross_charge":2996,"discounted_cash":2247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2996},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Mesh/c-qur #31534","code_information":[{"code":"3250153","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1137,"maximum":3112,"gross_charge":2992,"discounted_cash":2244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1137},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2483},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1839},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1137}]}]},{"description":"Mesh/ C-qur Tacshield #31610","code_information":[{"code":"3250649","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1134,"maximum":3102,"gross_charge":2983,"discounted_cash":2237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2094},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1134},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134}]}]},{"description":"Bulkamid Urethral Bulking Sys","code_information":[{"code":"3700751","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8606","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1134,"maximum":3102,"gross_charge":2983,"discounted_cash":2237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2094},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1134},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134}]}]},{"description":"Immune Globulin (Privigen) 5 Gram","code_information":[{"code":"4079075","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206043605","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3101,"gross_charge":2982,"discounted_cash":2237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2833},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1999},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2982},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2982},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2833},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2982},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2982},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2982},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133}]}],"drug_information":{"unit":5,"type":"GR"}},{"description":"Insert/articular Sz5-6 11mm #7142-0780","code_information":[{"code":"3257023","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1132,"maximum":3098,"gross_charge":2979,"discounted_cash":2234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2830},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3098},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2830},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132}]}]},{"description":"Insert/articular Size 5-6 #7142-0782","code_information":[{"code":"3257415","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3257415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1132,"maximum":3098,"gross_charge":2979,"discounted_cash":2234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2830},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3098},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2830},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132}]}]},{"description":"Plate 9h Rt #02.112.148","code_information":[{"code":"3251847","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1130,"maximum":3092,"gross_charge":2973,"discounted_cash":2230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2289},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2973},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1130}]}]},{"description":"Insert/genesis Ii Sz 3-4 11mm #7142-1537","code_information":[{"code":"3250132","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1129,"maximum":3090,"gross_charge":2971,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3090},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2674},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129}]}]},{"description":"Insert/genesis Ii Sz 5-6 #7142-1542","code_information":[{"code":"3250337","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1129,"maximum":3090,"gross_charge":2971,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3090},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2674},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129}]}]},{"description":"Insert/genesis Ii Sz 7-8 9mm #7142-1547","code_information":[{"code":"3250034","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3250034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1129,"maximum":3090,"gross_charge":2971,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3090},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2674},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1129}]}]},{"description":"Insert/articular Sz 7-8 18mm #7142-0852","code_information":[{"code":"3257682","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3257682","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1125,"maximum":3078,"gross_charge":2960,"discounted_cash":2220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3078},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1125}]}]},{"description":"Myosure Reach Tissue Removal","code_information":[{"code":"3700061","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1782","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1124,"maximum":3075,"gross_charge":2957,"discounted_cash":2218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124}]}]},{"description":"Pin Cortical Bone Allomate 2.5mm","code_information":[{"code":"32510014","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1124,"maximum":3075,"gross_charge":2957,"discounted_cash":2218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124}]}]},{"description":"Allograft Nushield 2cm X 4cm","code_information":[{"code":"3700636","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4160","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1124,"maximum":3075,"gross_charge":2957,"discounted_cash":2218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Staple System Clench 7mmx5mm","code_information":[{"code":"3700500","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1124,"maximum":3075,"gross_charge":2957,"discounted_cash":2218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124}]}]},{"description":"Head/fem 12/14 32+8 #7130-3208","code_information":[{"code":"3251496","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1123,"maximum":3073,"gross_charge":2955,"discounted_cash":2216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1981},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3073},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2275},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2955},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1123}]}]},{"description":"Zinsert/genesis Ii  9mm #7142-1531","code_information":[{"code":"3250232","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1122,"maximum":3071,"gross_charge":2953,"discounted_cash":2215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2953},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2953},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3071},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2953},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2953},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2451},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2953},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1122}]}]},{"description":"Plate #02.112.145","code_information":[{"code":"3250256","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1114,"maximum":3049,"gross_charge":2932,"discounted_cash":2199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2785},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1114}]}]},{"description":"Plate/clavicle 3-h 02.112.007","code_information":[{"code":"3251459","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1114,"maximum":3049,"gross_charge":2932,"discounted_cash":2199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2785},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1114}]}]},{"description":"Plate/ Fusion Medium Mtp #02.111.235","code_information":[{"code":"3250439","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1110,"maximum":3039,"gross_charge":2922,"discounted_cash":2192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2776},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1110},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2922},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2922},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3039},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2922},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2922},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2425},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2922},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1110}]}]},{"description":"Doxorubicin Liposomal (Doxil): 20mg Vial","code_information":[{"code":"4076226","type":"CDM"},{"code":"636","type":"RC"},{"code":"47335004940","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":3028,"gross_charge":2912,"discounted_cash":2184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2912},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2912},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3028},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2912},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2912},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2621},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2912},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1107}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Leuprolide 3.75 Mg Depot Syringe","code_information":[{"code":"4070229","type":"CDM"},{"code":"636","type":"RC"},{"code":"74364","type":"CPT","modifier":"103"}],"standard_charges":[{"setting":"outpatient","modifier_code":["103"],"minimum":1105,"maximum":3024,"gross_charge":2908,"discounted_cash":2181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3024},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2041},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2763},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2908},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105}]}],"drug_information":{"unit":375,"type":"ME"}},{"description":"Mr Lower Joint Left W And Wo Contrast","code_information":[{"code":"4181190-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73723","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1104,"maximum":3022,"gross_charge":2906,"discounted_cash":2180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104}]}]},{"description":"Mr Lower Joint Right W And Wo Contrast","code_information":[{"code":"4181189-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73723","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1104,"maximum":3022,"gross_charge":2906,"discounted_cash":2180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2906},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104}]}]},{"description":"Plate/locking T #249.684","code_information":[{"code":"3251017","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1102,"maximum":3017,"gross_charge":2901,"discounted_cash":2176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2756},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3017},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2037},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2756},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102}]}]},{"description":"Mr Chest With","code_information":[{"code":"4180131-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"71551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1100,"maximum":3011,"gross_charge":2895,"discounted_cash":2171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3011},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1100}]}]},{"description":"Implant/healix #222278","code_information":[{"code":"3251481","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1100,"maximum":3010,"gross_charge":2894,"discounted_cash":2171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2749},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3010},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1100}]}]},{"description":"Plate/fusion #02.211.254","code_information":[{"code":"3251616","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1093,"maximum":2992,"gross_charge":2877,"discounted_cash":2158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2020},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093}]}]},{"description":"Norian Drillabe Inject 3cc Sterile","code_information":[{"code":"3700118","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1093,"maximum":2992,"gross_charge":2877,"discounted_cash":2158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2020},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2877},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093}]}]},{"description":"Plate 14hole Curved 4.5mmx265mm #226.642","code_information":[{"code":"3258724","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1088,"maximum":2978,"gross_charge":2863,"discounted_cash":2147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2720},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1088},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2978},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1088},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088}]}]},{"description":"Ixabepilone 15 Mg Vial","code_information":[{"code":"4077978","type":"CDM"},{"code":"636","type":"RC"},{"code":"70020191001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2978,"gross_charge":2863,"discounted_cash":2147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2720},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1088},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2978},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Oval Dome Patella 3-peg #96-0103","code_information":[{"code":"3251289","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251289","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1088,"maximum":2976,"gross_charge":2862,"discounted_cash":2147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1088},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2862},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2862},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2862},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2862},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1088},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2862},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088}]}]},{"description":"Plate #02.112.137","code_information":[{"code":"3250275","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1085,"maximum":2970,"gross_charge":2856,"discounted_cash":2142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2856},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2856},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2970},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2856},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2856},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2370},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2856},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085}]}]},{"description":"Plate/locking 5h-lft #02.112.141","code_information":[{"code":"3250326","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1082,"maximum":2962,"gross_charge":2848,"discounted_cash":2136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1082},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2848},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2848},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1999},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2356},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2848},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2848},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2848},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1082}]}]},{"description":"Swivelock/dx Sl 3.5x8.5 W/ Fork","code_information":[{"code":"3251924","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1080,"maximum":2957,"gross_charge":2843,"discounted_cash":2132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2701},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2843},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2843},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2843},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2843},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2360},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1747},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2843},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1080}]}]},{"description":"Screw/locking 3.5mm X 111mm 7h","code_information":[{"code":"3252128","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1079,"maximum":2954,"gross_charge":2840,"discounted_cash":2130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1079},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2954},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079}]}]},{"description":"Ct Upper Ext Left Wo Contrast","code_information":[{"code":"4050218-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73200","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1079,"maximum":2954,"gross_charge":2840,"discounted_cash":2130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1079},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2954},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079}]}]},{"description":"Ct Upper Ext Right Wo Contrast","code_information":[{"code":"4050219-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73200","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1079,"maximum":2954,"gross_charge":2840,"discounted_cash":2130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1079},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2954},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2840},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079}]}]},{"description":"Epoetin Alfa 40,000 Units","code_information":[{"code":"4077099","type":"CDM"},{"code":"636","type":"RC"},{"code":"59676034001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2947,"gross_charge":2834,"discounted_cash":2126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2947},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cetuximab 200 Mg / 100 Ml Vial","code_information":[{"code":"4077709","type":"CDM"},{"code":"636","type":"RC"},{"code":"66733095823","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2944,"gross_charge":2831,"discounted_cash":2123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1076},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2944},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2831},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1076}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Insert/articular Sz 5-6 9mm #7142-0778","code_information":[{"code":"3257045","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/genesis Ii Size 7-8 #7142-0790","code_information":[{"code":"3256810","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 3-4 9mm #7142-0816","code_information":[{"code":"3257042","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Size 7-8 #7142-0844","code_information":[{"code":"3256820","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 3-4 11mm #7142-0818","code_information":[{"code":"3257320","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 5-6 11mm #7142-0832","code_information":[{"code":"3257016","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 7-8 11mm #7142-0846","code_information":[{"code":"3257103","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 7-8 11mm #7142-0792","code_information":[{"code":"3257050","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 3-4 13mm #7142-0820","code_information":[{"code":"3257402","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/genesis Ii Size3-4 11mm 7142-0768","code_information":[{"code":"3256860","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3256860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz 1-2 9mm #7142-0754","code_information":[{"code":"3250223","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3250223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/articular Sz5-3-4 11mm #7142-1509","code_information":[{"code":"3250942","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Insert/genesis Ii Size 3-4 #7142-0770","code_information":[{"code":"3256917","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3256917","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1073,"maximum":2936,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Mesh/c-qur #31531","code_information":[{"code":"3259981","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1070,"maximum":2929,"gross_charge":2816,"discounted_cash":2112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2929},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1070},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070}]}]},{"description":"Rabies Immune Globulin 300 Iu/1ml Vial","code_information":[{"code":"4070033","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533031801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2929,"gross_charge":2816,"discounted_cash":2112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2929},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070}]}],"drug_information":{"unit":1,"type":"ML"}},{"description":"Nail/locking 10mmx40mm #12-2024","code_information":[{"code":"3257325","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3257325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1070,"maximum":2928,"gross_charge":2815,"discounted_cash":2111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2674},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1976},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2329},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1070},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070}]}]},{"description":"Plate/lcp 4-h Left 2.7/3.5 #04.112.139","code_information":[{"code":"3251638","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1067,"maximum":2921,"gross_charge":2809,"discounted_cash":2107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2921},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1067},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2809},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1067}]}]},{"description":"Plate/fusion #02.211.253","code_information":[{"code":"3251615","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1065,"maximum":2915,"gross_charge":2803,"discounted_cash":2102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2663},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2663},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1065}]}]},{"description":"Head/fem Articul/eze #1365-21-000","code_information":[{"code":"3251053","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1061,"maximum":2903,"gross_charge":2791,"discounted_cash":2093,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1061},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2903},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061}]}]},{"description":"Head/fem Articul/eze #1365-22-000","code_information":[{"code":"3251309","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1061,"maximum":2903,"gross_charge":2791,"discounted_cash":2093,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1061},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2903},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061}]}]},{"description":"Plate 2.4 X 2.7mm Rt 02.211.230","code_information":[{"code":"3251866","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1060,"maximum":2901,"gross_charge":2789,"discounted_cash":2092,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1060},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2308},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2789},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1060}]}]},{"description":"Anchor Healix Advance Knotless","code_information":[{"code":"3251056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1058,"maximum":2894,"gross_charge":2783,"discounted_cash":2087,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2505},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1058}]}]},{"description":"Tray/tital Port 9.6fr #P4455k","code_information":[{"code":"3256569","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1055,"maximum":2888,"gross_charge":2777,"discounted_cash":2083,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2638},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1055}]}]},{"description":"Nail/tibial Cannulated 11mm #04.004.555s","code_information":[{"code":"3251854","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1050,"maximum":2875,"gross_charge":2764,"discounted_cash":2073,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2875},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2294},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Mr Pelvis (Prostate) W","code_information":[{"code":"4181244-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72196","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1050,"maximum":2872,"gross_charge":2762,"discounted_cash":2072,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2872},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Blade Helical 85mm","code_information":[{"code":"3252033","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1048,"maximum":2868,"gross_charge":2758,"discounted_cash":2069,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1048},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2289},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1048},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1048}]}]},{"description":"Plate/8 Hole","code_information":[{"code":"3252111","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1046,"maximum":2863,"gross_charge":2753,"discounted_cash":2065,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2753},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2753},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2753},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2753},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2753},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046}]}]},{"description":"Morcelator/laparoscopic Tissue","code_information":[{"code":"3259416","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259416","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1045,"maximum":2861,"gross_charge":2751,"discounted_cash":2063,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1045},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1931},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2283},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1045}]}]},{"description":"Nail/tibial Locking 9mmx31.5cm #12-2173","code_information":[{"code":"3254648","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3254648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1043,"maximum":2855,"gross_charge":2745,"discounted_cash":2059,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1043},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1927},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1043}]}]},{"description":"Mr Pelvis Gi Gu Gyn With","code_information":[{"code":"4181237-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72196","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1042,"maximum":2851,"gross_charge":2741,"discounted_cash":2056,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2604},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1042},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2268},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042}]}]},{"description":"Insert/articular Size 5-6 #7142-0830","code_information":[{"code":"3256958","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1039,"maximum":2843,"gross_charge":2734,"discounted_cash":2051,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2843},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2269},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039}]}]},{"description":"Plate/ambi 135 Degree 4sl #12-4177","code_information":[{"code":"3256613","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3256613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1038,"maximum":2841,"gross_charge":2732,"discounted_cash":2049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2595},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2595},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2268},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1038}]}]},{"description":"Plate/medoff Sliding 6-h #Msp6clspc","code_information":[{"code":"3256596","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3256596","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1037,"maximum":2839,"gross_charge":2730,"discounted_cash":2048,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1830},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1037},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2839},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2457},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1037}]}]},{"description":"Clamp #390.008","code_information":[{"code":"3251506","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1037,"maximum":2837,"gross_charge":2728,"discounted_cash":2046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1829},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1037},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2837},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1037},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1037}]}]},{"description":"Or1 Nurse 46-75","code_information":[{"code":"3210203","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1036,"maximum":2836,"gross_charge":2727,"discounted_cash":2045,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1036},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2836},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036}]}]},{"description":"17mm Cannulated Drill Bit 357.394","code_information":[{"code":"3700078","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1036,"maximum":2836,"gross_charge":2727,"discounted_cash":2045,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1036},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2836},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2591},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036}]}]},{"description":"Anchor Knotless 3mm","code_information":[{"code":"3700746","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1035,"maximum":2832,"gross_charge":2723,"discounted_cash":2042,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1035},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1912},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2451},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2723},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":".Molecular Path Lev 7 Dhmc","code_information":[{"code":"4017671-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"81406","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1033,"maximum":2828,"gross_charge":2719,"discounted_cash":2039,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033}]}]},{"description":"Collagenase Ointment (90 Gm)","code_information":[{"code":"4070138","type":"CDM"},{"code":"259","type":"RC"},{"code":"50484001090","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2828,"gross_charge":2719,"discounted_cash":2039,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2719},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Endoscopy2 Nurse 61-90","code_information":[{"code":"3280207","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1032,"maximum":2826,"gross_charge":2717,"discounted_cash":2038,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1821},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2826},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032}]}]},{"description":"Eribulin Mesylate 1 Mg / 2 Ml Vial","code_information":[{"code":"4078387","type":"CDM"},{"code":"636","type":"RC"},{"code":"62856038901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2824,"gross_charge":2715,"discounted_cash":2036,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1820},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2715},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Gii Ps Insert Sz 1-2 11mm","code_information":[{"code":"3700111","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1031,"maximum":2823,"gross_charge":2714,"discounted_cash":2036,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1031},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031}]}]},{"description":"Onabotulinumtoxina 100 Units (Theraptic)","code_information":[{"code":"4078018","type":"CDM"},{"code":"636","type":"RC"},{"code":"23114","type":"CPT","modifier":"501"}],"standard_charges":[{"setting":"outpatient","modifier_code":["501"],"minimum":1031,"maximum":2822,"gross_charge":2713,"discounted_cash":2035,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1031},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1031},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031}]}],"drug_information":{"unit":100,"type":"UN"}},{"description":"Ct Pelvis Gi Gu Gyn W And Wo Contrast","code_information":[{"code":"4181228-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72194","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1031,"maximum":2822,"gross_charge":2713,"discounted_cash":2035,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1031},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1031},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031}]}]},{"description":"Ct Pelvis W And Wo","code_information":[{"code":"4050093-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72194","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1031,"maximum":2822,"gross_charge":2713,"discounted_cash":2035,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1031},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1031},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031}]}]},{"description":"Mr Spine Lumbar With","code_information":[{"code":"4180111-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72149","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1031,"maximum":2820,"gross_charge":2712,"discounted_cash":2034,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1031},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031}]}]},{"description":"Plate/lcp 11 Hole Lft","code_information":[{"code":"3250454","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1030,"maximum":2819,"gross_charge":2711,"discounted_cash":2033,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2440},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030}]}]},{"description":"Ventralex Hernia Patch Large #5950009","code_information":[{"code":"3259609","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1030,"maximum":2819,"gross_charge":2711,"discounted_cash":2033,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2440},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030}]}]},{"description":"Nm Pulmonary Vent And Perfusion Imaging","code_information":[{"code":"4060335","type":"CDM"},{"code":"341","type":"RC"},{"code":"78582","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1029,"maximum":2817,"gross_charge":2709,"discounted_cash":2032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1029},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Spine Entire Ap Lat","code_information":[{"code":"4040165-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72082","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1028,"maximum":2814,"gross_charge":2706,"discounted_cash":2030,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028}]}]},{"description":"Plate/locking Calcaneal Short/69mm L","code_information":[{"code":"3258842","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1024,"maximum":2804,"gross_charge":2696,"discounted_cash":2022,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2561},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1024},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1893},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1024}]}]},{"description":"Head/fem 12/14 32+4 #7130-3204","code_information":[{"code":"3259365","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1023,"maximum":2801,"gross_charge":2693,"discounted_cash":2020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2558},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1023},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1890},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023}]}]},{"description":"Echo 2 W/ Ventralight 15x20cm","code_information":[{"code":"3700160","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1023,"maximum":2800,"gross_charge":2692,"discounted_cash":2019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1023},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1023},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023}]}]},{"description":"Drill Bit/3.2mm Short","code_information":[{"code":"3700884","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1023,"maximum":2800,"gross_charge":2692,"discounted_cash":2019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1023},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1023},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023}]}]},{"description":"Drill/long Graduated 3.2","code_information":[{"code":"3259030","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1023,"maximum":2800,"gross_charge":2692,"discounted_cash":2019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1023},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1023},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023}]}]},{"description":"Plate 5-h Lft","code_information":[{"code":"3251172","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1022,"maximum":2797,"gross_charge":2689,"discounted_cash":2017,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1022},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2797},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2555},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022}]}]},{"description":"Mr Chest Wo","code_information":[{"code":"4180105-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"71550","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1021,"maximum":2796,"gross_charge":2688,"discounted_cash":2016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1021},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2688},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2688},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2688},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2688},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2688},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021}]}]},{"description":"Plate Lcp 14h 3.5mmx189mm #223.641","code_information":[{"code":"3258819","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1021,"maximum":2793,"gross_charge":2686,"discounted_cash":2015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1021},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2793},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021}]}]},{"description":"Impactor/genesis Ii Femoral #7144-0190","code_information":[{"code":"3259078","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1020,"maximum":2791,"gross_charge":2684,"discounted_cash":2013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1020},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020}]}]},{"description":"Plate Lcp 2.7/3.5 86mm","code_information":[{"code":"3700392","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1020,"maximum":2791,"gross_charge":2684,"discounted_cash":2013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1020},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020}]}]},{"description":"Removal of one knee cartilage using an endoscope","code_information":[{"code":"3281411","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29881","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1020,"maximum":2790,"gross_charge":2683,"discounted_cash":2012,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1020},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2549},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1020},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2683},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1020}]}]},{"description":"4.0 Adjustable Clamp","code_information":[{"code":"3700127","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1019,"maximum":2788,"gross_charge":2681,"discounted_cash":2011,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2788},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2064},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2681},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1019}]}]},{"description":"5.4 X 7.0 Lg Oval Hernia Mesh","code_information":[{"code":"3290000","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1018,"maximum":2786,"gross_charge":2679,"discounted_cash":2009,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1018},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2679},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2679},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2786},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2679},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2679},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2224},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2411},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2679},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1018}]}]},{"description":"Handpiece15-14mm Versajet Exact","code_information":[{"code":"3700360","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1017,"maximum":2784,"gross_charge":2677,"discounted_cash":2008,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2543},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1017},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1017}]}]},{"description":"Mr Spine Thoracic Wo Cont 2 5 Sequence","code_information":[{"code":"4181233-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72146","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1015,"maximum":2777,"gross_charge":2670,"discounted_cash":2003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1015},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2777},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2056},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1015},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015}]}]},{"description":"V-patch/c Qur Lg #31202","code_information":[{"code":"3250042","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1013,"maximum":2773,"gross_charge":2666,"discounted_cash":2000,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1013},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2773},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2533},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2213},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013}]}]},{"description":"Guidepin/bieth Pin With Eyelet (Acl)","code_information":[{"code":"3251014","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1011,"maximum":2767,"gross_charge":2661,"discounted_cash":1996,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1011},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2661},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1011}]}]},{"description":"Plate/locking 4h Lft #02.112.139","code_information":[{"code":"3250379","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1009,"maximum":2762,"gross_charge":2656,"discounted_cash":1992,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1009},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1009},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2656},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009}]}]},{"description":"Ct Thoracic Spine W","code_information":[{"code":"4050095","type":"CDM"},{"code":"352","type":"RC"},{"code":"72129","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1009,"maximum":2761,"gross_charge":2655,"discounted_cash":1991,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1009},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2655},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2655},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2655},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2655},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1009},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2655},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009}]}]},{"description":"Mesh/ C-qur Tacshield 4x6 #31628","code_information":[{"code":"3250537","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1008,"maximum":2758,"gross_charge":2652,"discounted_cash":1989,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1008},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2652},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2652},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2652},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2652},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2652},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1008}]}]},{"description":"Cpr Mini Scorpion Implant System","code_information":[{"code":"3700148","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":2750,"gross_charge":2644,"discounted_cash":1983,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1772},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1005},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2750},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005}]}]},{"description":"Plate #02.112.136","code_information":[{"code":"3250890","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1002,"maximum":2741,"gross_charge":2636,"discounted_cash":1977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2504},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1002},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002}]}]},{"description":"Ct Pelvis Bones Joints Muscles W Wo","code_information":[{"code":"4181231-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72194","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":1001,"maximum":2739,"gross_charge":2634,"discounted_cash":1976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2634},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2634},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2739},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2634},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2634},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2634},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001}]}]},{"description":"Flowable Cortical Fibers 1.00cc","code_information":[{"code":"3700985","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1762","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1001,"maximum":2738,"gross_charge":2633,"discounted_cash":1975,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2633},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2633},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2738},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2633},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2633},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"United Healthcare","plan_name":"Commercial","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":1001},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2633},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001}]}]},{"description":"Patella  34mmx7.8mm #184726","code_information":[{"code":"3250156","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1000,"maximum":2737,"gross_charge":2632,"discounted_cash":1974,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":1000},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1000}]}]},{"description":"Suture Anchor 2.8mm","code_information":[{"code":"3701132","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":999,"maximum":2735,"gross_charge":2630,"discounted_cash":1973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":999},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999}]}]},{"description":"Helical Blade/tfna 85mm","code_information":[{"code":"3700208","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":998,"maximum":2730,"gross_charge":2625,"discounted_cash":1969,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":998},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2021},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998}]}]},{"description":"Darbepoetin 150 Mcg / 0.3 Ml","code_information":[{"code":"4078166","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513002704","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2801,"gross_charge":2624,"discounted_cash":1968,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2729},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Nm Bone Imaging; 3 Phase W/ Flow","code_information":[{"code":"4060322","type":"CDM"},{"code":"341","type":"RC"},{"code":"78315","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":996,"maximum":2727,"gross_charge":2622,"discounted_cash":1967,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2019},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996}]}]},{"description":"Plate/4 Slot 135 #12-4131","code_information":[{"code":"3253331","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3253331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":996,"maximum":2725,"gross_charge":2620,"discounted_cash":1965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1756},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996}]}]},{"description":"Anchor Lupineloop + W/ortho Cord","code_information":[{"code":"3251374","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":994,"maximum":2721,"gross_charge":2616,"discounted_cash":1962,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1836},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2616},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994}]}]},{"description":"Mr Brain Wo","code_information":[{"code":"4180102-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":992,"maximum":2714,"gross_charge":2610,"discounted_cash":1958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":992},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"United Healthcare","plan_name":"Commercial","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":992},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2610},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992}]}]},{"description":"Clamp 6 Hole #390.002","code_information":[{"code":"3251510","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251510","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":989,"maximum":2706,"gross_charge":2602,"discounted_cash":1952,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2004},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":989}]}]},{"description":"Rituximab 100 Mg Vial","code_information":[{"code":"4077357","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242005121","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2801,"gross_charge":2600,"discounted_cash":1950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":988},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2704},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Anchor Healix 5.5","code_information":[{"code":"3250016","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":988,"maximum":2703,"gross_charge":2599,"discounted_cash":1949,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":988},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988}]}]},{"description":"Plate/locking 4h Rt #02.112.138","code_information":[{"code":"3250794","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":987,"maximum":2701,"gross_charge":2597,"discounted_cash":1948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987}]}]},{"description":"Mr Upper Ext Left W And Wo Cont Nonjoint","code_information":[{"code":"4180178-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73220","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":987,"maximum":2701,"gross_charge":2597,"discounted_cash":1948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987}]}]},{"description":"Mr Upper Ext Rt W And Wo Cont Nonjoint","code_information":[{"code":"4180179-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73220","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":987,"maximum":2701,"gross_charge":2597,"discounted_cash":1948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987}]}]},{"description":"Kit Dynabridge Implant Instr","code_information":[{"code":"32510016","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":986,"maximum":2698,"gross_charge":2594,"discounted_cash":1946,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1821},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986}]}]},{"description":"Yoco Lapidus Single","code_information":[{"code":"3700829","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":986,"maximum":2698,"gross_charge":2594,"discounted_cash":1946,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1821},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2594},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986}]}]},{"description":"Or1 Nurse 76-90","code_information":[{"code":"3210204","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":983,"maximum":2692,"gross_charge":2588,"discounted_cash":1941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":983},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983}]}]},{"description":"Us Echocardiogram W Color Flow Dop","code_information":[{"code":"4060097-TC","type":"CDM"},{"code":"483","type":"RC"},{"code":"93306","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":983,"maximum":2690,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":983},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983}]}]},{"description":"Diagnostic exam of large bowel using an endoscope","code_information":[{"code":"CP17543256209711561","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":981,"maximum":2684,"gross_charge":2581,"discounted_cash":1936,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":981},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2452},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"United Healthcare","plan_name":"Commercial","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":981},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981}]}]},{"description":"Plate/calcaneal Long #241.619","code_information":[{"code":"3250774","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":981,"maximum":2684,"gross_charge":2581,"discounted_cash":1936,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":981},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2684},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2452},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"United Healthcare","plan_name":"Commercial","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":981},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981}]}]},{"description":"Anchor Quick Mini Mitek 212035","code_information":[{"code":"3257241","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":979,"maximum":2680,"gross_charge":2577,"discounted_cash":1933,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2680},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Articuleze M Head 36mm","code_information":[{"code":"3251156","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":978,"maximum":2677,"gross_charge":2574,"discounted_cash":1931,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":978},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1807},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978}]}]},{"description":"Head/fem M-spec 12/14 Taper #1365-51-000","code_information":[{"code":"3251318","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":978,"maximum":2677,"gross_charge":2574,"discounted_cash":1931,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":978},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1807},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978}]}]},{"description":"Head/fem M-spec 12/14 Taper #1365-52-000","code_information":[{"code":"3251522","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":978,"maximum":2677,"gross_charge":2574,"discounted_cash":1931,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":978},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1807},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2574},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978}]}]},{"description":"Anchor Healix Adv","code_information":[{"code":"3251447","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":974,"maximum":2666,"gross_charge":2563,"discounted_cash":1922,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":974},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"United Healthcare","plan_name":"Commercial","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":974},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":974}]}]},{"description":"Urethral Dilator Set","code_information":[{"code":"3700503","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":2659,"gross_charge":2557,"discounted_cash":1918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":972},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2659},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1969},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"United Healthcare","plan_name":"Commercial","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":972},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972}]}]},{"description":"Screw Cort Tap 4x26mm","code_information":[{"code":"3700886","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":970,"maximum":2654,"gross_charge":2552,"discounted_cash":1914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Commercial","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":970},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970}]}]},{"description":"Rod/guide #7175-1146","code_information":[{"code":"3259035","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":970,"maximum":2654,"gross_charge":2552,"discounted_cash":1914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Commercial","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":970},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970}]}]},{"description":"Mr Myocardium","code_information":[{"code":"4180118-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"75557","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":969,"maximum":2652,"gross_charge":2550,"discounted_cash":1913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2550},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":969}]}]},{"description":"Removal of polyps or growths of large bowel using an endoscope","code_information":[{"code":"3281118","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":968,"maximum":2650,"gross_charge":2548,"discounted_cash":1911,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":968},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1789},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":968}]}]},{"description":"Mr Abdomen With","code_information":[{"code":"4180142-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74182","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":966,"maximum":2643,"gross_charge":2541,"discounted_cash":1906,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":966},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966}]}]},{"description":"Allopatch 4x4","code_information":[{"code":"3700329","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q4128","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":963,"maximum":2636,"gross_charge":2535,"discounted_cash":1901,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":963},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1780},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Kit/urethral Implant #653001","code_information":[{"code":"3258954","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258954","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":963,"maximum":2635,"gross_charge":2534,"discounted_cash":1901,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2407},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":963},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2635},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963}]}]},{"description":"Medium Multi-pin Clamps 4 Position","code_information":[{"code":"3700051","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":961,"maximum":2631,"gross_charge":2530,"discounted_cash":1898,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":961},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2631},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":961}]}]},{"description":"Anchor Sut Healix 3.4mm","code_information":[{"code":"3700568","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":960,"maximum":2628,"gross_charge":2527,"discounted_cash":1895,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2401},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":960},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1946},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"United Healthcare","plan_name":"Commercial","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":960},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960}]}]},{"description":"Trocar 3.2mm","code_information":[{"code":"3700990","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700990","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":957,"maximum":2620,"gross_charge":2519,"discounted_cash":1889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2267},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Nm Muga","code_information":[{"code":"4060009","type":"CDM"},{"code":"340","type":"RC"},{"code":"78472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":957,"maximum":2619,"gross_charge":2518,"discounted_cash":1889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Cholangiogram T Tube","code_information":[{"code":"4040237","type":"CDM"},{"code":"320","type":"RC"},{"code":"47531","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":957,"maximum":2619,"gross_charge":2518,"discounted_cash":1889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Plate/distal Volar-right Wide #Dvrax-r","code_information":[{"code":"3251117","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":957,"maximum":2619,"gross_charge":2518,"discounted_cash":1889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Mesh/soft 12x12","code_information":[{"code":"3700942","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":957,"maximum":2619,"gross_charge":2518,"discounted_cash":1889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Head/fem 12/14 32-3 #7130-3203","code_information":[{"code":"3259363","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":956,"maximum":2617,"gross_charge":2516,"discounted_cash":1887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956}]}]},{"description":"Head/fem 12/14 36+0 #7130-3600","code_information":[{"code":"3259296","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":956,"maximum":2617,"gross_charge":2516,"discounted_cash":1887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956}]}]},{"description":"Head/fem 12/14 36+3 #7130-3603","code_information":[{"code":"3259626","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":956,"maximum":2617,"gross_charge":2516,"discounted_cash":1887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956}]}]},{"description":"Head/fem 12/14 36+4 #7130-3604","code_information":[{"code":"3259337","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":956,"maximum":2617,"gross_charge":2516,"discounted_cash":1887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956}]}]},{"description":"Head/fem 12/14 Taber #7130-3608","code_information":[{"code":"3250339","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":956,"maximum":2617,"gross_charge":2516,"discounted_cash":1887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956}]}]},{"description":"Risankizumab-rzaa Infusion","code_information":[{"code":"4070271","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4070271","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":955,"maximum":2615,"gross_charge":2514,"discounted_cash":1886,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1765},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":955}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tibial Articular Sz7-8 9mm","code_information":[{"code":"3700535","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":952,"maximum":2606,"gross_charge":2506,"discounted_cash":1880,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":952},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952}]}]},{"description":"Comp/genesis Ii Patellar 26mm #7142-05","code_information":[{"code":"3256802","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":952,"maximum":2606,"gross_charge":2506,"discounted_cash":1880,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":952},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952}]}]},{"description":"Ultrasound of abdomen","code_information":[{"code":"4060056-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76700","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":952,"maximum":2606,"gross_charge":2506,"discounted_cash":1880,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":952},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952}]}]},{"description":"T-tube Silicone 4fr","code_information":[{"code":"3700567","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":950,"maximum":2601,"gross_charge":2501,"discounted_cash":1876,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":950},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1756},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950}]}]},{"description":"Mra Neck W And Wo","code_information":[{"code":"4180129-TC","type":"CDM"},{"code":"615","type":"RC"},{"code":"70549","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":949,"maximum":2598,"gross_charge":2498,"discounted_cash":1874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":949},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949}]}]},{"description":"Blade Helical 120mm","code_information":[{"code":"3259965","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":946,"maximum":2590,"gross_charge":2490,"discounted_cash":1868,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":946},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2241},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2490},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Mesh/c-qur 6x8 #31533","code_information":[{"code":"3250180","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":945,"maximum":2585,"gross_charge":2486,"discounted_cash":1865,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945}]}]},{"description":"Plate/lcp Hook 3.5","code_information":[{"code":"3250969","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":942,"maximum":2578,"gross_charge":2479,"discounted_cash":1859,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":942},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1740},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942}]}]},{"description":"Anchor Proknot","code_information":[{"code":"3251402","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":942,"maximum":2577,"gross_charge":2478,"discounted_cash":1859,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":942},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942}]}]},{"description":"Bit Drill 2.7mm Cann 155mm","code_information":[{"code":"3252076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":940,"maximum":2572,"gross_charge":2473,"discounted_cash":1855,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1736},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"United Healthcare","plan_name":"Commercial","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":940},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940}]}]},{"description":"Clamp Combo #390.005","code_information":[{"code":"3251509","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251509","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":939,"maximum":2571,"gross_charge":2472,"discounted_cash":1854,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":939},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939}]}]},{"description":"Anchor Healix Adv Sp Peek 5.5mm","code_information":[{"code":"3700996","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":939,"maximum":2570,"gross_charge":2471,"discounted_cash":1853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1735},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939}]}]},{"description":"Hook Lapitome Bone Removal","code_information":[{"code":"3700970","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":2568,"gross_charge":2469,"discounted_cash":1852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938}]}]},{"description":"Razor/tome 7mm Prec Osteotome","code_information":[{"code":"3700972","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":2568,"gross_charge":2469,"discounted_cash":1852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938}]}]},{"description":"Speed Release Guide","code_information":[{"code":"3700971","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":2568,"gross_charge":2469,"discounted_cash":1852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938}]}]},{"description":"Featherrasp Bone Contouring Inst","code_information":[{"code":"3701098","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":2568,"gross_charge":2469,"discounted_cash":1852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":938},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938}]}]},{"description":"Centralizer/distal 12mm #7131-3212","code_information":[{"code":"3257791","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":937,"maximum":2564,"gross_charge":2465,"discounted_cash":1849,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":937},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2564},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":937}]}]},{"description":"Blade Helical Tfna 105mm","code_information":[{"code":"3251873","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2563,"gross_charge":2464,"discounted_cash":1848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Helical Blade/tfna 90mm","code_information":[{"code":"3700240","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2563,"gross_charge":2464,"discounted_cash":1848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Blade/helical Tfna 120mm","code_information":[{"code":"3700950","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2563,"gross_charge":2464,"discounted_cash":1848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Blade Helical Tfna 120-s","code_information":[{"code":"3700958","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2563,"gross_charge":2464,"discounted_cash":1848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Blade/helical Tfna 100","code_information":[{"code":"3700954","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2563,"gross_charge":2464,"discounted_cash":1848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Blade 42mm","code_information":[{"code":"3251684","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251684","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2562,"gross_charge":2463,"discounted_cash":1847,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2463},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2463},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2463},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2463},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2463},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Helical Blade/tfna 115mm","code_information":[{"code":"3251920","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":936,"maximum":2560,"gross_charge":2462,"discounted_cash":1847,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2560},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2037},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936}]}]},{"description":"Helical Blade/tfna 100 Mm","code_information":[{"code":"3700335","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":935,"maximum":2559,"gross_charge":2461,"discounted_cash":1846,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2338},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":935},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935}]}]},{"description":"Patella/oval Dome 3-p 38mm #960102","code_information":[{"code":"3251106","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":931,"maximum":2548,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Patella/oval Dome 3peg 32mm #96-0100","code_information":[{"code":"3251328","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":931,"maximum":2548,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Patella/round Dome 35mm #96-0111","code_information":[{"code":"3251568","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":931,"maximum":2548,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Patella/round Dome 38mm #96-0112","code_information":[{"code":"3251367","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":931,"maximum":2548,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Ct Head W And Wo Contrast","code_information":[{"code":"4050044","type":"CDM"},{"code":"351","type":"RC"},{"code":"70470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":931,"maximum":2548,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Panitumumab 100 Mg Vial","code_information":[{"code":"4078324","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513095401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":875,"maximum":2801,"gross_charge":2449,"discounted_cash":1837,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ct Chest With","code_information":[{"code":"4050022-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"71260","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":931,"maximum":2547,"gross_charge":2449,"discounted_cash":1837,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":931},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Screw/milagro Advanced 7x23","code_information":[{"code":"3251003","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":929,"maximum":2544,"gross_charge":2446,"discounted_cash":1835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":929},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1717},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929}]}]},{"description":"Screw/milagno Advanced 8x23","code_information":[{"code":"3250999","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":929,"maximum":2544,"gross_charge":2446,"discounted_cash":1835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":929},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1717},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929}]}]},{"description":"Clamp Multi-pin 4 Position","code_information":[{"code":"3700540","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700540","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":929,"maximum":2542,"gross_charge":2444,"discounted_cash":1833,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":929},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929}]}]},{"description":"Implant Femaile Sht Tenotec 0.6x2.2x6.5m","code_information":[{"code":"3700334","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":928,"maximum":2541,"gross_charge":2443,"discounted_cash":1832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2021},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928}]}]},{"description":"Ttac 2.0 Fml Sht 6x2.2x6.5mm","code_information":[{"code":"3700834","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700834","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":928,"maximum":2541,"gross_charge":2443,"discounted_cash":1832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2021},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928}]}]},{"description":"Ct Lower Ext Left Wo Contrast","code_information":[{"code":"4050214-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73700","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":925,"maximum":2531,"gross_charge":2434,"discounted_cash":1826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":925},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2531},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":925}]}]},{"description":"Ct Lower Ext Right Wo Contrast","code_information":[{"code":"4050215-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73700","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":925,"maximum":2531,"gross_charge":2434,"discounted_cash":1826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":925},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2531},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2434},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":925}]}]},{"description":"Helical Blade/tfna 80mm","code_information":[{"code":"3252103","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":923,"maximum":2525,"gross_charge":2428,"discounted_cash":1821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":923},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923}]}]},{"description":"Blade Tfna Helical 110mm","code_information":[{"code":"3700372","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":923,"maximum":2525,"gross_charge":2428,"discounted_cash":1821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":923},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923}]}]},{"description":"Blade Tfna Helical 90 Mm","code_information":[{"code":"3700350","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":923,"maximum":2525,"gross_charge":2428,"discounted_cash":1821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":923},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923}]}]},{"description":"Ct Lumbar Spine Wo","code_information":[{"code":"4050096-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72131","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":923,"maximum":2525,"gross_charge":2428,"discounted_cash":1821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":923},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923}]}]},{"description":"Anchor/healix Advance Br3","code_information":[{"code":"3251054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":922,"maximum":2523,"gross_charge":2426,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":922},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Anchor/healix Advance Br3","code_information":[{"code":"3251084","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":922,"maximum":2523,"gross_charge":2426,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":922},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Mesh/ C-qur Tacshield #31626","code_information":[{"code":"3250363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":922,"maximum":2523,"gross_charge":2426,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":922},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Screw Compression Ft 30mm","code_information":[{"code":"3700840","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":921,"maximum":2521,"gross_charge":2424,"discounted_cash":1818,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":921},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2521},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921}]}]},{"description":"Screw Compression Ft 14mm","code_information":[{"code":"3700551","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":921,"maximum":2521,"gross_charge":2424,"discounted_cash":1818,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":921},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2521},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2424},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921}]}]},{"description":"Pin Sigma Lcs #9505-02-303","code_information":[{"code":"3251325","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":919,"maximum":2515,"gross_charge":2418,"discounted_cash":1814,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919}]}]},{"description":"Echo Ps Ventralight Mesh # 5955450","code_information":[{"code":"3700054","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":918,"maximum":2514,"gross_charge":2417,"discounted_cash":1813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2296},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2296},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918}]}]},{"description":"Echo 2w/ventralightst 15 Cm","code_information":[{"code":"3700144","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":917,"maximum":2510,"gross_charge":2413,"discounted_cash":1810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917}]}]},{"description":"Plate/4 Slot 140 #12-4132","code_information":[{"code":"3253332","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":912,"maximum":2496,"gross_charge":2400,"discounted_cash":1800,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":912},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":912}]}]},{"description":"Guide Wire Multiple #312.692","code_information":[{"code":"3252060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":910,"maximum":2492,"gross_charge":2396,"discounted_cash":1797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":910},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910}]}]},{"description":"5.5 Peek Anchor Knotless","code_information":[{"code":"3700083","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":908,"maximum":2486,"gross_charge":2390,"discounted_cash":1793,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":908},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908}]}]},{"description":"Or2 Nurse 1-30","code_information":[{"code":"3210212","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":908,"maximum":2486,"gross_charge":2390,"discounted_cash":1793,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":908},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2486},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908}]}]},{"description":"Ct Orbit Iac Sella Wo","code_information":[{"code":"4050045","type":"CDM"},{"code":"351","type":"RC"},{"code":"70480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":908,"maximum":2485,"gross_charge":2389,"discounted_cash":1792,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":908},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908}]}]},{"description":"Bard Echo 2 Position System 11cm Circle","code_information":[{"code":"3700063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":906,"maximum":2478,"gross_charge":2383,"discounted_cash":1787,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":906},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906}]}]},{"description":"Karyotyping Tissue Mayo","code_information":[{"code":"4011047-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88262","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":905,"maximum":2476,"gross_charge":2381,"discounted_cash":1786,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":905},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905}]}]},{"description":"Screw/milagno Advanced 10x23","code_information":[{"code":"3251001","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":903,"maximum":2471,"gross_charge":2376,"discounted_cash":1782,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":903},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1830},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903}]}]},{"description":"Plate Lcp Recon 7hx98mm #245.071","code_information":[{"code":"3258793","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":899,"maximum":2462,"gross_charge":2367,"discounted_cash":1775,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":899},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899}]}]},{"description":"Gel Port","code_information":[{"code":"3251698","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251698","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":899,"maximum":2462,"gross_charge":2367,"discounted_cash":1775,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":899},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899}]}]},{"description":"Hernia Patch/small Ventralex Dvl5950007","code_information":[{"code":"3259607","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":899,"maximum":2461,"gross_charge":2366,"discounted_cash":1775,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":899},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2366},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899}]}]},{"description":"MRI scan of leg joint","code_information":[{"code":"4181192-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73721","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":895,"maximum":2448,"gross_charge":2354,"discounted_cash":1766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":895},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":895},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895}]}]},{"description":"Mr Lower Ext Left W Wo Contrast","code_information":[{"code":"4180183-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73720","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":895,"maximum":2448,"gross_charge":2354,"discounted_cash":1766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":895},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":895},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895}]}]},{"description":"Mr Upper Ext Left Wo Cont Non Joint","code_information":[{"code":"4180164-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73218","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":895,"maximum":2448,"gross_charge":2354,"discounted_cash":1766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":895},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":895},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895}]}]},{"description":"MRI scan of leg joint","code_information":[{"code":"4181191-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73721","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":895,"maximum":2448,"gross_charge":2354,"discounted_cash":1766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":895},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":895},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895}]}]},{"description":"Mr Lower Ext Right W Wo Contrast","code_information":[{"code":"4180184-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73720","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":895,"maximum":2448,"gross_charge":2354,"discounted_cash":1766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":895},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":895},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895}]}]},{"description":"Mr Upper Ext Right Wo Cont Non Joint","code_information":[{"code":"4180165-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73218","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":895,"maximum":2448,"gross_charge":2354,"discounted_cash":1766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":895},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":895},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895}]}]},{"description":"Biopsy/max-core 18 Ga X 25 Cm","code_information":[{"code":"3700836","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":893,"maximum":2445,"gross_charge":2351,"discounted_cash":1763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":893},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2445},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2351},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893}]}]},{"description":"Mr Pelvis Bones Joints Muscles With","code_information":[{"code":"4181234-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72196","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":893,"maximum":2444,"gross_charge":2350,"discounted_cash":1763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":893},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893}]}]},{"description":"Colonoscopy 6 Hrs","code_information":[{"code":"3280016","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":892,"maximum":2442,"gross_charge":2348,"discounted_cash":1761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":892},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1648},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892}]}]},{"description":"Colonoscopy 6.5 Hrs","code_information":[{"code":"3280017","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":892,"maximum":2442,"gross_charge":2348,"discounted_cash":1761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":892},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1648},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892}]}]},{"description":"Ligasure Maryland","code_information":[{"code":"3700499","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":892,"maximum":2442,"gross_charge":2348,"discounted_cash":1761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":892},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1648},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892}]}]},{"description":"Capsure 15 #0113215","code_information":[{"code":"3700157","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":890,"maximum":2436,"gross_charge":2342,"discounted_cash":1757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":890},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890}]}]},{"description":"Helical Blade/tfna 95mm","code_information":[{"code":"3251791","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":2433,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2433},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"United Healthcare","plan_name":"Commercial","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":889},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889}]}]},{"description":"Comp/genesis Ii Patellar 29mm #7142-0574","code_information":[{"code":"3257455","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":887,"maximum":2428,"gross_charge":2335,"discounted_cash":1751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"Commercial","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":887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887}]}]},{"description":"Putty Magnetos Easypack 1.5cc 1-2mm","code_information":[{"code":"32510018","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":887,"maximum":2428,"gross_charge":2335,"discounted_cash":1751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"Commercial","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":887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887}]}]},{"description":"Putty Magnetos Easypack 1-2mm 2.5cc","code_information":[{"code":"3700420","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":887,"maximum":2427,"gross_charge":2334,"discounted_cash":1751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887}]}]},{"description":"Guide Adpt Visionaire Lgnp Kit","code_information":[{"code":"3700898","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700898","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":887,"maximum":2427,"gross_charge":2334,"discounted_cash":1751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887}]}]},{"description":"Venography Unilat","code_information":[{"code":"4040207-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"75820","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":887,"maximum":2426,"gross_charge":2333,"discounted_cash":1750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":887},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1638},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887}]}]},{"description":"Liner/ref Sz-f #7174-0254","code_information":[{"code":"3259495","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":883,"maximum":2417,"gross_charge":2324,"discounted_cash":1743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":883},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883}]}]},{"description":"Us Fine Needle Asp First Lesion","code_information":[{"code":"4040474","type":"CDM"},{"code":"761","type":"RC"},{"code":"10005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":883,"maximum":2417,"gross_charge":2324,"discounted_cash":1743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":883},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883}]}]},{"description":"Stapler/contour Curved Cutter #Cs40b","code_information":[{"code":"3258913","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258913","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":883,"maximum":2416,"gross_charge":2323,"discounted_cash":1742,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":883},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2416},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"United Healthcare","plan_name":"Commercial","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":883},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883}]}]},{"description":"Gen 11 7.5mm Resur Pat 32mm 7193-2636","code_information":[{"code":"3700114","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":882,"maximum":2414,"gross_charge":2321,"discounted_cash":1741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":882},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"CP17543256209719652","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":882,"maximum":2413,"gross_charge":2320,"discounted_cash":1740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":882},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882}]}]},{"description":"Blade Spiral 60mm","code_information":[{"code":"3251246","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":882,"maximum":2413,"gross_charge":2320,"discounted_cash":1740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":882},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1920},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2320},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882}]}]},{"description":"Screw/milagno Advanced 9x23","code_information":[{"code":"3251004","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":881,"maximum":2412,"gross_charge":2319,"discounted_cash":1739,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":881},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1628},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"United Healthcare","plan_name":"Commercial","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":881},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881}]}]},{"description":"Screw/canc 5x 30mm","code_information":[{"code":"3259032","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":881,"maximum":2412,"gross_charge":2319,"discounted_cash":1739,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":881},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1628},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"United Healthcare","plan_name":"Commercial","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":881},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881}]}]},{"description":"Screw/can Selftap 5x36","code_information":[{"code":"3700989","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":881,"maximum":2412,"gross_charge":2319,"discounted_cash":1739,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":881},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1628},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"United Healthcare","plan_name":"Commercial","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":881},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2319},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881}]}]},{"description":"Burr Mica Screw System W/blade","code_information":[{"code":"3700823","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700823","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":880,"maximum":2409,"gross_charge":2316,"discounted_cash":1737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1626},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":880},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880}]}]},{"description":"Implant/macroplastique 2.5ml #Mpq-2.5","code_information":[{"code":"3251333","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8606","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":880,"maximum":2408,"gross_charge":2315,"discounted_cash":1736,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":880},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880}]}]},{"description":"Screw/comp Headless #02.226.020","code_information":[{"code":"3250721","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":879,"maximum":2404,"gross_charge":2312,"discounted_cash":1734,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":879},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879}]}]},{"description":"Screw/comp Headless #02.226.040","code_information":[{"code":"3250243","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":879,"maximum":2404,"gross_charge":2312,"discounted_cash":1734,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":879},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879}]}]},{"description":"Screw/comp Headless #02.226.122","code_information":[{"code":"3259695","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":879,"maximum":2404,"gross_charge":2312,"discounted_cash":1734,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":879},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879}]}]},{"description":"3.5mm Lcp Right Angle 7 Hole 241.171","code_information":[{"code":"3700012","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":879,"maximum":2404,"gross_charge":2312,"discounted_cash":1734,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":879},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879}]}]},{"description":"Biopsy exam of large bowel using an endoscope","code_information":[{"code":"3281277","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":878,"maximum":2403,"gross_charge":2311,"discounted_cash":1733,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":878},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878}]}]},{"description":"Ct Cerv Spine With","code_information":[{"code":"4050099","type":"CDM"},{"code":"352","type":"RC"},{"code":"72126","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":877,"maximum":2399,"gross_charge":2307,"discounted_cash":1730,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":877},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877}]}]},{"description":"Mr Upper Ext Left With Cont Non Joint","code_information":[{"code":"4180167-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73219","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":877,"maximum":2399,"gross_charge":2307,"discounted_cash":1730,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":877},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877}]}]},{"description":"Mr Upper Ext Right With Cont Non Joint","code_information":[{"code":"4180168-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73219","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":877,"maximum":2399,"gross_charge":2307,"discounted_cash":1730,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":877},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877}]}]},{"description":"Clips/hemo-lok Polymer Ligating Lg","code_information":[{"code":"3701103","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":875,"maximum":2395,"gross_charge":2303,"discounted_cash":1727,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":875},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"Commercial","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":875},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875}]}]},{"description":"Yoco Lapidus Dbl Conmed","code_information":[{"code":"3700847","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700847","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":874,"maximum":2391,"gross_charge":2299,"discounted_cash":1724,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":874},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874}]}]},{"description":"Yoco Lapidus Double","code_information":[{"code":"3701090","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":874,"maximum":2391,"gross_charge":2299,"discounted_cash":1724,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":874},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874}]}]},{"description":"Patella/round Dome 32mm #96-0110","code_information":[{"code":"3251371","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":873,"maximum":2390,"gross_charge":2298,"discounted_cash":1724,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"United Healthcare","plan_name":"Commercial","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":873},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Kit/swivelock Dx Sl 3.5x8.5","code_information":[{"code":"3251923","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":873,"maximum":2390,"gross_charge":2298,"discounted_cash":1724,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"United Healthcare","plan_name":"Commercial","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":873},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Colonoscopy 5 Hrs","code_information":[{"code":"3280021","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":873,"maximum":2389,"gross_charge":2297,"discounted_cash":1723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"United Healthcare","plan_name":"Commercial","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":873},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Colonoscopy 7 Hrs","code_information":[{"code":"3280023","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":873,"maximum":2389,"gross_charge":2297,"discounted_cash":1723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"United Healthcare","plan_name":"Commercial","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":873},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Colonoscopy 7.5 Hrs","code_information":[{"code":"3280024","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":873,"maximum":2389,"gross_charge":2297,"discounted_cash":1723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"United Healthcare","plan_name":"Commercial","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":873},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Blade Helical","code_information":[{"code":"3259768","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":872,"maximum":2387,"gross_charge":2295,"discounted_cash":1721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":872},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":872},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872}]}]},{"description":"Blade Helical 100mm","code_information":[{"code":"3259763","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":872,"maximum":2387,"gross_charge":2295,"discounted_cash":1721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":872},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":872},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872}]}]},{"description":"Blade Helical 115mm","code_information":[{"code":"3250289","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250289","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":872,"maximum":2387,"gross_charge":2295,"discounted_cash":1721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":872},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1899},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":872},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872}]}]},{"description":"Screw/locking Cort 3.5x12mm","code_information":[{"code":"3252087","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":869,"maximum":2377,"gross_charge":2286,"discounted_cash":1715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":869},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869}]}]},{"description":"Screw/locking Cort 3.5x14mm","code_information":[{"code":"3252088","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":869,"maximum":2377,"gross_charge":2286,"discounted_cash":1715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":869},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869}]}]},{"description":"Screw/locking Cort 3.5x18mm","code_information":[{"code":"3252089","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":869,"maximum":2377,"gross_charge":2286,"discounted_cash":1715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":869},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869}]}]},{"description":"Screw/milagro 9x23mm","code_information":[{"code":"3259651","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":868,"maximum":2376,"gross_charge":2285,"discounted_cash":1714,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":868},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1604},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868}]}]},{"description":"Echo2 Positioning System 4x6 5991015","code_information":[{"code":"3700055","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":866,"maximum":2369,"gross_charge":2278,"discounted_cash":1709,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":866},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1599},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":866}]}]},{"description":"Nm Thyroid Scan","code_information":[{"code":"4060318","type":"CDM"},{"code":"341","type":"RC"},{"code":"78013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":864,"maximum":2365,"gross_charge":2274,"discounted_cash":1706,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1596},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"Commercial","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":864},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864}]}]},{"description":"Drill/mini-acutrak 2 Long","code_information":[{"code":"3251104","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":863,"maximum":2363,"gross_charge":2272,"discounted_cash":1704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"United Healthcare","plan_name":"Commercial","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":863},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863}]}]},{"description":"Diagnostic exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"CP17543256209715597","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":863,"maximum":2361,"gross_charge":2270,"discounted_cash":1703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863}]}]},{"description":"Injection(s) of anesthetic into lower spine using imaging guidance","code_information":[{"code":"CP17543256209729904","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"64483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":863,"maximum":2361,"gross_charge":2270,"discounted_cash":1703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863}]}]},{"description":"Plate/distal Volar-left(narrow)#dvrans-l","code_information":[{"code":"3259003","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":861,"maximum":2357,"gross_charge":2266,"discounted_cash":1700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1519},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":861},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861}]}]},{"description":"Plate/distal Volar-rt (Narrow) #Dvrans-r","code_information":[{"code":"3259113","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":861,"maximum":2357,"gross_charge":2266,"discounted_cash":1700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1519},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":861},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861}]}]},{"description":"Cta Lower Ext Left","code_information":[{"code":"4050222-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73706","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":860,"maximum":2355,"gross_charge":2264,"discounted_cash":1698,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":860},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1589},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860}]}]},{"description":"Cta Lower Ext Right","code_information":[{"code":"4050223-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73706","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":860,"maximum":2355,"gross_charge":2264,"discounted_cash":1698,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":860},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1589},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860}]}]},{"description":"Needle 45  Resection Electrode","code_information":[{"code":"3251339","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":860,"maximum":2352,"gross_charge":2262,"discounted_cash":1697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":860},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"United Healthcare","plan_name":"Commercial","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":860},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860}]}]},{"description":"Roller #Wa22651c","code_information":[{"code":"3251340","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":860,"maximum":2352,"gross_charge":2262,"discounted_cash":1697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":860},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"United Healthcare","plan_name":"Commercial","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":860},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860}]}]},{"description":"Pro-tack #174006","code_information":[{"code":"3258086","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":857,"maximum":2346,"gross_charge":2256,"discounted_cash":1692,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":857},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1867},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"United Healthcare","plan_name":"Commercial","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":857},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857}]}]},{"description":"Kit/ridgidfix 3.3cross Pin","code_information":[{"code":"3259963","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259963","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":855,"maximum":2341,"gross_charge":2251,"discounted_cash":1688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1580},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Commercial","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":855},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2251},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855}]}]},{"description":"Anchor Lupine Br","code_information":[{"code":"3259784","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":855,"maximum":2340,"gross_charge":2250,"discounted_cash":1688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855}]}]},{"description":"Inj Anesthetic Agnt Brachial Plexus Sngl","code_information":[{"code":"4080300","type":"CDM"},{"code":"360","type":"RC"},{"code":"64415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj Anesthetic Agnt Brachial Plexus Sng","code_information":[{"code":"4080303","type":"CDM"},{"code":"360","type":"RC"},{"code":"64415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj Anesthetic Agnt Brachial Plexus Sngl","code_information":[{"code":"4080249","type":"CDM"},{"code":"360","type":"RC"},{"code":"64415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj. Anesthetic Agent; Axillary Nerve","code_information":[{"code":"4080236","type":"CDM"},{"code":"370","type":"RC"},{"code":"64417","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj. Anesthetic Agent; Axillary Nerve","code_information":[{"code":"4080302","type":"CDM"},{"code":"370","type":"RC"},{"code":"64417","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj Anes Lumbar Plexus Post Continuous","code_information":[{"code":"4080252","type":"CDM"},{"code":"370","type":"RC"},{"code":"64449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj Anes Lumbar Plexus Post Continuous","code_information":[{"code":"4080307","type":"CDM"},{"code":"370","type":"RC"},{"code":"64449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Injection/infusion Of Neurolytic Sub","code_information":[{"code":"4080314","type":"CDM"},{"code":"370","type":"RC"},{"code":"62282","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj Anesthetic Agnt Brachial Plexus Sngl","code_information":[{"code":"4080250","type":"CDM"},{"code":"360","type":"RC"},{"code":"64415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj/infsion Neurolytic Substnce Epidural","code_information":[{"code":"4080253","type":"CDM"},{"code":"341","type":"RC"},{"code":"62281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj/infsion Neurolytic Substnce Epidural","code_information":[{"code":"4080254","type":"CDM"},{"code":"341","type":"RC"},{"code":"62281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Inj/infsion Neurolytic Substnce Epidural","code_information":[{"code":"4080313","type":"CDM"},{"code":"260","type":"RC"},{"code":"62281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":852,"maximum":2332,"gross_charge":2242,"discounted_cash":1682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":852},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":852},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"3.0 Headless Screw","code_information":[{"code":"3700019","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":850,"maximum":2328,"gross_charge":2238,"discounted_cash":1679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":850},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Mra Abdomen  Wo","code_information":[{"code":"4181195-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":850,"maximum":2326,"gross_charge":2237,"discounted_cash":1678,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":850},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Mra Abdomen W","code_information":[{"code":"4181196-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"74185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":850,"maximum":2326,"gross_charge":2237,"discounted_cash":1678,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":850},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Comp/head 32mm #163669","code_information":[{"code":"3259887","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":850,"maximum":2325,"gross_charge":2236,"discounted_cash":1677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":850},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2325},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"United Healthcare","plan_name":"Commercial","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":850},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Versajet Handpiece 45 Degree X 14mm","code_information":[{"code":"3700387","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700387","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2324,"gross_charge":2235,"discounted_cash":1676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"United Healthcare","plan_name":"Commercial","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":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Comp/genesis Ii Patellar 35mm #7142-0578","code_information":[{"code":"3257118","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Comp/genesis Ii Patellar 38mm #7192-6225","code_information":[{"code":"3258843","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Comp/genesis Ii Patellar 41mm #7192-6226","code_information":[{"code":"3258652","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Screw/comp Headless #02.226.014","code_information":[{"code":"3250475","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Screw/comp Headless #02.226.036","code_information":[{"code":"3250208","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Screw/headless Ti 3.0 #04.226.016","code_information":[{"code":"3250498","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Screw/headless Ti 3.0 #04.226.018","code_information":[{"code":"3250499","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":849,"maximum":2322,"gross_charge":2233,"discounted_cash":1675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":849},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Mra Chest W And Wo","code_information":[{"code":"4181197-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"71555","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":848,"maximum":2321,"gross_charge":2232,"discounted_cash":1674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"Mra Chest With","code_information":[{"code":"4181198-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"71555","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":848,"maximum":2321,"gross_charge":2232,"discounted_cash":1674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"Mra Chest Wo","code_information":[{"code":"4181199-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"71555","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":848,"maximum":2321,"gross_charge":2232,"discounted_cash":1674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2321},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2009},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"Gel Port #C8xx2","code_information":[{"code":"3258411","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":846,"maximum":2315,"gross_charge":2226,"discounted_cash":1670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":846},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":846}]}]},{"description":"Plate 8hole 4.5mmx152mm #224.581","code_information":[{"code":"3258719","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":844,"maximum":2311,"gross_charge":2222,"discounted_cash":1667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":844},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1560},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844}]}]},{"description":"Set/universal Er Cricothyrotomy Cath","code_information":[{"code":"3258701","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":844,"maximum":2310,"gross_charge":2221,"discounted_cash":1666,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":844},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1559},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1999},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844}]}]},{"description":"Head/fem 12/14 32+0 #7130-3200","code_information":[{"code":"3259009","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":842,"maximum":2305,"gross_charge":2216,"discounted_cash":1662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":842},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1839},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842}]}]},{"description":"Implant/contigen Collagen #651005","code_information":[{"code":"3259006","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":842,"maximum":2305,"gross_charge":2216,"discounted_cash":1662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":842},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1839},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842}]}]},{"description":"Screw/ambi Lag 100mm #12-1109","code_information":[{"code":"3253350","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":840,"maximum":2299,"gross_charge":2211,"discounted_cash":1658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":840},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1552},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1829},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1990},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2211},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840}]}]},{"description":"Plate/5 Hole Rt 02.112.140","code_information":[{"code":"3250616","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2297,"gross_charge":2209,"discounted_cash":1657,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Plate Lcp Recon 6hx84mm #245.061","code_information":[{"code":"3258792","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2297,"gross_charge":2209,"discounted_cash":1657,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Blade Helical 95mm","code_information":[{"code":"3259720","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2295,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Blade Helical 90mm","code_information":[{"code":"3250761","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2295,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Blade Helical 85mm","code_information":[{"code":"3250126","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2295,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Spacemaker  Pro Blunttip Trocar","code_information":[{"code":"3700163","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1727","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2295,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Blade Tfna Helical 75 Mm","code_information":[{"code":"3700371","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2295,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Helical Blade 80mm 456.301","code_information":[{"code":"3290001","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":839,"maximum":2295,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":839},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":839},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Scrotal Retraction System","code_information":[{"code":"3700386","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":836,"maximum":2288,"gross_charge":2200,"discounted_cash":1650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1820},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1980},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836}]}]},{"description":"Hiv Pep Regimen; Isentress And Truvada","code_information":[{"code":"4078559","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":835,"maximum":2801,"gross_charge":2198,"discounted_cash":1649,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":835},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Platelets, Pheresis","code_information":[{"code":"4020130","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9034","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":835,"maximum":2285,"gross_charge":2197,"discounted_cash":1648,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":835},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835}]}]},{"description":"Screw/milagno 10x30","code_information":[{"code":"3250370","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":833,"maximum":2280,"gross_charge":2192,"discounted_cash":1644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1539},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Commercial","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":833},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833}]}]},{"description":"Screw/milagno Interference 7x23mm","code_information":[{"code":"3259045","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":833,"maximum":2280,"gross_charge":2192,"discounted_cash":1644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1539},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Commercial","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":833},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833}]}]},{"description":"Mesh/c-qur 4x6 #31528","code_information":[{"code":"3250521","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":833,"maximum":2280,"gross_charge":2192,"discounted_cash":1644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1539},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Commercial","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":833},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833}]}]},{"description":"Surgi Mesh #Tel613-8","code_information":[{"code":"3250494","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250494","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":833,"maximum":2280,"gross_charge":2192,"discounted_cash":1644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1539},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Commercial","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":833},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833}]}]},{"description":"Nail/locking 10mmx34cm #12-1926","code_information":[{"code":"3256691","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":2277,"gross_charge":2189,"discounted_cash":1642,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":832},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1537},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832}]}]},{"description":"Enseal G-2 Curved Jaw 35mm","code_information":[{"code":"3251078","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":2276,"gross_charge":2188,"discounted_cash":1641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":831},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"United Healthcare","plan_name":"Commercial","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":831},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831}]}]},{"description":"Plate/chs 3-slot 135 #12-4126","code_information":[{"code":"3254114","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3254114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":2274,"gross_charge":2187,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":831},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":831},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831}]}]},{"description":"Centralizer/distal 11mm #7131-3211","code_information":[{"code":"3257802","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":2274,"gross_charge":2187,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":831},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":831},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831}]}]},{"description":"Centralizer/distal 10mm #7131-3210","code_information":[{"code":"3257686","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":2274,"gross_charge":2187,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":831},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":831},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831}]}]},{"description":"Secure Strap 5mm Absorbable Device","code_information":[{"code":"3251090","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":2273,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":831},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831}]}]},{"description":"Cta Aorta  Runoff","code_information":[{"code":"4050200-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"75635","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":830,"maximum":2270,"gross_charge":2183,"discounted_cash":1637,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830}]}]},{"description":"Toe Joint Fixation Comp #9p15-s180-w","code_information":[{"code":"3700615","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":828,"maximum":2266,"gross_charge":2179,"discounted_cash":1634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828}]}]},{"description":"Liletta Intrauterine Insert Er 52mg","code_information":[{"code":"4070062","type":"CDM"},{"code":"636","type":"RC"},{"code":"23585","type":"CPT","modifier":"801"}],"standard_charges":[{"setting":"outpatient","modifier_code":["801"],"minimum":828,"maximum":2265,"gross_charge":2178,"discounted_cash":1634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828}]}],"drug_information":{"unit":52,"type":"ME"}},{"description":"Screw/milagno Interference 7x23mm","code_information":[{"code":"3251618","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":827,"maximum":2263,"gross_charge":2176,"discounted_cash":1632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Cable/cocr 1.7mm W/ Ti Crimp 750mm Strl","code_information":[{"code":"3252048","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":825,"maximum":2259,"gross_charge":2172,"discounted_cash":1629,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825}]}]},{"description":"Mosaic/c Qur Mesh #31107","code_information":[{"code":"3251074","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":823,"maximum":2252,"gross_charge":2165,"discounted_cash":1624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":823},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Commercial","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":823},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823}]}]},{"description":"Recovery Room Charge 181-240","code_information":[{"code":"3220017","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":823,"maximum":2252,"gross_charge":2165,"discounted_cash":1624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":823},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Commercial","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":823},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823}]}]},{"description":"Mr Arthrogram Lower Joint","code_information":[{"code":"4181201-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73722","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":823,"maximum":2252,"gross_charge":2165,"discounted_cash":1624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":823},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Commercial","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":823},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823}]}]},{"description":"Mr Lower Joint Left W Contrast","code_information":[{"code":"4181194-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73722","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":823,"maximum":2252,"gross_charge":2165,"discounted_cash":1624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":823},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Commercial","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":823},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823}]}]},{"description":"Mr Lower Joint Right W Contrast","code_information":[{"code":"4181193-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73722","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":823,"maximum":2252,"gross_charge":2165,"discounted_cash":1624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":823},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Commercial","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":823},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823}]}]},{"description":"Implant/coaptate Inj 1ml #890-300","code_information":[{"code":"3250568","type":"CDM"},{"code":"278","type":"RC"},{"code":"L8606","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":822,"maximum":2250,"gross_charge":2163,"discounted_cash":1622,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822}]}]},{"description":"Clamp (6 Pos) #390.010","code_information":[{"code":"3251507","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":820,"maximum":2244,"gross_charge":2158,"discounted_cash":1619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":820},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820}]}]},{"description":"Bone Burr Wedge 2.9x13x72","code_information":[{"code":"3700934","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":820,"maximum":2244,"gross_charge":2158,"discounted_cash":1619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":820},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820}]}]},{"description":"Shear/laparoscopic Curved Harmonic #Lcs-","code_information":[{"code":"3257779","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257779","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":820,"maximum":2243,"gross_charge":2157,"discounted_cash":1618,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":820},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"United Healthcare","plan_name":"Commercial","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":820},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820}]}]},{"description":"Plate/distal Volar-left #Dvra-l","code_information":[{"code":"3258612","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":819,"maximum":2241,"gross_charge":2155,"discounted_cash":1616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819}]}]},{"description":"Mra Neck With","code_information":[{"code":"4180128-TC","type":"CDM"},{"code":"615","type":"RC"},{"code":"70548","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":819,"maximum":2241,"gross_charge":2155,"discounted_cash":1616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819}]}]},{"description":"Mra Head W And Wo","code_information":[{"code":"4180126-TC","type":"CDM"},{"code":"615","type":"RC"},{"code":"70546","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":818,"maximum":2239,"gross_charge":2153,"discounted_cash":1615,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1781},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"United Healthcare","plan_name":"Commercial","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":818},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818}]}]},{"description":"Burr Mica 2x12mm","code_information":[{"code":"3700822","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":816,"maximum":2234,"gross_charge":2148,"discounted_cash":1611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2041},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":816},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816}]}]},{"description":"Gen 11 7.5mm Resur Pat 29mm","code_information":[{"code":"3700113","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":816,"maximum":2233,"gross_charge":2147,"discounted_cash":1610,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":816},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1932},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816}]}]},{"description":"Trigen Low Pro Screw 5.0mmx25mm","code_information":[{"code":"3700095","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":815,"maximum":2230,"gross_charge":2144,"discounted_cash":1608,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2037},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":815},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1505},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2037},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815}]}]},{"description":"Cholangiogram Intraop Xray Supervision","code_information":[{"code":"4040152-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74300","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":814,"maximum":2228,"gross_charge":2142,"discounted_cash":1607,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":814},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1772},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814}]}]},{"description":"Set/cricothyrotomy Cath G47655","code_information":[{"code":"3259188","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":814,"maximum":2227,"gross_charge":2141,"discounted_cash":1606,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":814},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814}]}]},{"description":"Drill Bit #310.634","code_information":[{"code":"3259016","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":812,"maximum":2221,"gross_charge":2136,"discounted_cash":1602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":812},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1499},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"United Healthcare","plan_name":"Commercial","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":812},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":812}]}]},{"description":"Bevacizamab 100 Mg / 4 Ml","code_information":[{"code":"4078122","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242006001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":812,"maximum":2801,"gross_charge":2136,"discounted_cash":1602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":812},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1499},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":812}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ct Orbit Iac Sella W","code_information":[{"code":"4050046","type":"CDM"},{"code":"351","type":"RC"},{"code":"70481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":809,"maximum":2215,"gross_charge":2130,"discounted_cash":1598,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809}]}]},{"description":"Screw/cann Locking 7.3x50mm #02.207.055","code_information":[{"code":"3259470","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":809,"maximum":2214,"gross_charge":2129,"discounted_cash":1597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809}]}]},{"description":"Truespan Meniscal Repair System 0'","code_information":[{"code":"3700217","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":809,"maximum":2214,"gross_charge":2129,"discounted_cash":1597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809}]}]},{"description":"Truespan Meniscal Repair System 12'","code_information":[{"code":"3700218","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":809,"maximum":2214,"gross_charge":2129,"discounted_cash":1597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809}]}]},{"description":"Harmonic Ace 9","code_information":[{"code":"3259392","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":808,"maximum":2210,"gross_charge":2125,"discounted_cash":1594,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2019},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":808},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2019},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"Commercial","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":808},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808}]}]},{"description":"Risperidone Long Acting 50 Mg Inj","code_information":[{"code":"4077504","type":"CDM"},{"code":"636","type":"RC"},{"code":"50458030811","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":806,"maximum":2801,"gross_charge":2120,"discounted_cash":1590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":806},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Plate Evos 3.5mm 12h 139mm","code_information":[{"code":"3700603","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":803,"maximum":2199,"gross_charge":2114,"discounted_cash":1586,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Enseal G-2 Tissue Sealer 35cm","code_information":[{"code":"3251070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":801,"maximum":2191,"gross_charge":2107,"discounted_cash":1580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":801}]}]},{"description":"Optifix At 15","code_information":[{"code":"3700143","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":798,"maximum":2185,"gross_charge":2101,"discounted_cash":1576,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":798},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"United Healthcare","plan_name":"Commercial","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":798},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798}]}]},{"description":"Infliximab-axxq 100 Mg Vial","code_information":[{"code":"4070151","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513067001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":798,"maximum":2801,"gross_charge":2100,"discounted_cash":1575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":798},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1474},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Plate #02.112.144","code_information":[{"code":"3250389","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":798,"maximum":2183,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":798},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798}]}]},{"description":"Plate/6-hole Lcd-lcp #449.926","code_information":[{"code":"3251550","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":796,"maximum":2180,"gross_charge":2096,"discounted_cash":1572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":796},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Comp/genesis Ii Patellar 32mm #7142-0576","code_information":[{"code":"3257211","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":795,"maximum":2177,"gross_charge":2093,"discounted_cash":1570,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Bendamustine 25 Mg Inj","code_information":[{"code":"4078970","type":"CDM"},{"code":"636","type":"RC"},{"code":"63459039008","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":795,"maximum":2801,"gross_charge":2093,"discounted_cash":1570,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2093},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Plate/distal Volar-right #Dvra-r","code_information":[{"code":"3258582","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":795,"maximum":2176,"gross_charge":2092,"discounted_cash":1569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"Commercial","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":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Plate/distal Volar-lft Std Ext #Dvrax-l","code_information":[{"code":"3259486","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":795,"maximum":2176,"gross_charge":2092,"discounted_cash":1569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"Commercial","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":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Plate/distal Volar-lf (Wide) #Dvraw-l","code_information":[{"code":"3259500","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":795,"maximum":2176,"gross_charge":2092,"discounted_cash":1569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"Commercial","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":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Forceps Flexible Biopsy 7frx330mm","code_information":[{"code":"3700505","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":795,"maximum":2176,"gross_charge":2092,"discounted_cash":1569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"Commercial","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":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Stapler/hemorroid Circular #Pph03","code_information":[{"code":"3258427","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":795,"maximum":2175,"gross_charge":2091,"discounted_cash":1568,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":795},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Plate/7 Hole Blade","code_information":[{"code":"3259544","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":794,"maximum":2173,"gross_charge":2089,"discounted_cash":1567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"United Healthcare","plan_name":"Commercial","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":794},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2089},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794}]}]},{"description":"Anchor/healix 5.5 #222233","code_information":[{"code":"3250045","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":793,"maximum":2172,"gross_charge":2088,"discounted_cash":1566,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":793},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2088},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":793}]}]},{"description":"Device Abs Fixation 15 Tacks","code_information":[{"code":"3259952","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":792,"maximum":2167,"gross_charge":2084,"discounted_cash":1563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1980},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":792},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1980},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1724},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"United Healthcare","plan_name":"Commercial","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":792},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792}]}]},{"description":"Vent/thoracic 11frx10cm","code_information":[{"code":"3250847","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250847","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":792,"maximum":2166,"gross_charge":2083,"discounted_cash":1562,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":792},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1462},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792}]}]},{"description":"Mesh/c-qur Round #31507","code_information":[{"code":"3250858","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3250858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":791,"maximum":2164,"gross_charge":2081,"discounted_cash":1561,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":791},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"United Healthcare","plan_name":"Commercial","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":791},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791}]}]},{"description":"Screw/ortholoc Mini 2.0x22mm","code_information":[{"code":"3252083","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":791,"maximum":2164,"gross_charge":2081,"discounted_cash":1561,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":791},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"United Healthcare","plan_name":"Commercial","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":791},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791}]}]},{"description":"Mra Neck Wo","code_information":[{"code":"4180127-TC","type":"CDM"},{"code":"615","type":"RC"},{"code":"70547","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":790,"maximum":2163,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":790},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790}]}]},{"description":"Cath/groshong Powerport 8 Ofr","code_information":[{"code":"3250148","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1788","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":790,"maximum":2162,"gross_charge":2079,"discounted_cash":1559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1975},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":790},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1975},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":790},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790}]}]},{"description":"Ct Pelvis  Bones Joints Muscles  Wo Con","code_information":[{"code":"4181230-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72192","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":790,"maximum":2161,"gross_charge":2078,"discounted_cash":1559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":790},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1600},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":790},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790}]}]},{"description":"Ct Pelvis Wo","code_information":[{"code":"4050091-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72192","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":790,"maximum":2161,"gross_charge":2078,"discounted_cash":1559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":790},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1600},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":790},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790}]}]},{"description":"Ct Pelvis Gi Gu Gyn Wo Contrast","code_information":[{"code":"4181227-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72192","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":790,"maximum":2161,"gross_charge":2078,"discounted_cash":1559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":790},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1600},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":790},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790}]}]},{"description":"Scew/mini Acutrak 2  26.0mm","code_information":[{"code":"3251993","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":789,"maximum":2159,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Scew/mini Acutrak 2 20.0mm","code_information":[{"code":"3251992","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":789,"maximum":2159,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Scew/standard Acutrak 2  34.0mm","code_information":[{"code":"3252073","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":789,"maximum":2159,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Screw/accutrac 18mm #At2-s18s","code_information":[{"code":"3251475","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":789,"maximum":2159,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Screw/mini-acutrak 18mm #At2-m18","code_information":[{"code":"3251531","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":789,"maximum":2159,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Screw/standard At2 24mm #At2-s24","code_information":[{"code":"3252036","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":789,"maximum":2159,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":789},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Or3 Nurse 1-30","code_information":[{"code":"3210223","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":788,"maximum":2156,"gross_charge":2073,"discounted_cash":1555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1969},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":788},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1969},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"United Healthcare","plan_name":"Commercial","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":788},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788}]}]},{"description":"Plate/locking 6h-rt #02.112.142","code_information":[{"code":"3250452","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2155,"gross_charge":2072,"discounted_cash":1554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Plate Lcp 10h 3.5mmx137mm #223.601","code_information":[{"code":"3258781","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2155,"gross_charge":2072,"discounted_cash":1554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Plate/locking 6h-lft #02.112.143","code_information":[{"code":"3250257","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2155,"gross_charge":2072,"discounted_cash":1554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Ligasure Atlas 10mm","code_information":[{"code":"3701105","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2155,"gross_charge":2072,"discounted_cash":1554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Remdesivir Vial (5 Mg/ml) 100 Mg / 20 Ml","code_information":[{"code":"4071119","type":"CDM"},{"code":"636","type":"RC"},{"code":"61958290102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":787,"maximum":2801,"gross_charge":2072,"discounted_cash":1554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Sleeve/unipolar 12/14 Taper +0","code_information":[{"code":"3257906","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2154,"gross_charge":2071,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1454},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Sleeve/unipolar 12/14 Taper -3","code_information":[{"code":"3257905","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2154,"gross_charge":2071,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1454},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Sleeve/unipolar 12/14 Taper +4","code_information":[{"code":"3257907","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2154,"gross_charge":2071,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1454},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Repair of groin hernia patient age 5 years or older","code_information":[{"code":"3281139","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"49505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Centralizer/distal 9mm #7131-3209","code_information":[{"code":"3257919","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Artelon Flexband Twist Driver 3.85","code_information":[{"code":"3701096","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Mesh Ventralight 6  X 8","code_information":[{"code":"3700550","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"Sleeve/unipolar 12/14 Taper +8","code_information":[{"code":"3257908","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"CT scan","code_information":[{"code":"4050042-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"70450","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"CT scan","code_information":[{"code":"4181238-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"70450","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"CT scan","code_information":[{"code":"4181236-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"70450","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"CT scan","code_information":[{"code":"4181239-TC","type":"CDM"},{"code":"350","type":"RC"},{"code":"70450","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":787,"maximum":2153,"gross_charge":2070,"discounted_cash":1553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":787},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":787},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787}]}]},{"description":"V-patch/c Qur Med #31201","code_information":[{"code":"3250041","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":786,"maximum":2151,"gross_charge":2068,"discounted_cash":1551,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1452},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1965},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"United Healthcare","plan_name":"Commercial","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":786},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786}]}]},{"description":"Nm Liver/spleen Imaging","code_information":[{"code":"4060311","type":"CDM"},{"code":"341","type":"RC"},{"code":"78215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":785,"maximum":2149,"gross_charge":2066,"discounted_cash":1550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":785},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":785},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785}]}]},{"description":"Loop/medium #Wa22606s","code_information":[{"code":"3251337","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":784,"maximum":2146,"gross_charge":2063,"discounted_cash":1547,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":784},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784}]}]},{"description":"Basket Dakota W/ Opensure","code_information":[{"code":"3251851","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":784,"maximum":2146,"gross_charge":2063,"discounted_cash":1547,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":784},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784}]}]},{"description":"Device Abs Fixation Rigid Shaft 30 Tacks","code_information":[{"code":"3251441","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251441","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":783,"maximum":2143,"gross_charge":2061,"discounted_cash":1546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":783},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2143},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783}]}]},{"description":"Enseal G-2 Tissue Sealer 22cm","code_information":[{"code":"3251071","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":782,"maximum":2140,"gross_charge":2058,"discounted_cash":1544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":782},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782}]}]},{"description":"V-patch/c Qur Sm","code_information":[{"code":"3250040","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":781,"maximum":2137,"gross_charge":2055,"discounted_cash":1541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":781},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"United Healthcare","plan_name":"Commercial","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":781},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"Drill Bit Cannul 2.7mm","code_information":[{"code":"3700560","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700560","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":781,"maximum":2136,"gross_charge":2054,"discounted_cash":1541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":781},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"Us Testicle Scrotum And Contents","code_information":[{"code":"4060060-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76870","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":781,"maximum":2136,"gross_charge":2054,"discounted_cash":1541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":781},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"Us Extremity Limited Left","code_information":[{"code":"4060233-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76882","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":781,"maximum":2136,"gross_charge":2054,"discounted_cash":1541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":781},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"Us Extremity Limited Right","code_information":[{"code":"4060234-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76882","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":781,"maximum":2136,"gross_charge":2054,"discounted_cash":1541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":781},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"Endoscopy1 Nurse 31-60","code_information":[{"code":"3280205","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":780,"maximum":2134,"gross_charge":2052,"discounted_cash":1539,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780}]}]},{"description":".Charge Dhmc Tissuelevel Vi","code_information":[{"code":"4011290-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88309","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":780,"maximum":2134,"gross_charge":2052,"discounted_cash":1539,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":780}]}]},{"description":"Drill Bit Cannulated 5.0x300mm","code_information":[{"code":"3700892","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":779,"maximum":2132,"gross_charge":2050,"discounted_cash":1538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":779},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"United Healthcare","plan_name":"Commercial","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":779},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779}]}]},{"description":"Met Cup Long","code_information":[{"code":"3700459","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700459","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":779,"maximum":2131,"gross_charge":2049,"discounted_cash":1537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":779},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1438},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"United Healthcare","plan_name":"Commercial","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":779},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779}]}]},{"description":"Mr Tmj","code_information":[{"code":"4180100-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70336","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":779,"maximum":2131,"gross_charge":2049,"discounted_cash":1537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":779},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1438},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"United Healthcare","plan_name":"Commercial","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":779},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779}]}]},{"description":"Drill Bit Cannulated 2.7x160mm 310.67","code_information":[{"code":"3700356","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700356","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":777,"maximum":2128,"gross_charge":2046,"discounted_cash":1535,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":777},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777}]}]},{"description":"Head/fem Universal X-long Neck #12-9937","code_information":[{"code":"3255191","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3255191","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2125,"gross_charge":2043,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1839},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock T1.3.0x14","code_information":[{"code":"3700170","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock Ti 3.0x12","code_information":[{"code":"3700234","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock Ti 3.0x18","code_information":[{"code":"3700555","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock Ti 3.0x20","code_information":[{"code":"3700923","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock Ti 3.0x18","code_information":[{"code":"3700850","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock Ti 3.0x16","code_information":[{"code":"3700331","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Screw Val Kreulock Ti 3.0x10","code_information":[{"code":"3700233","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":776,"maximum":2124,"gross_charge":2042,"discounted_cash":1532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":776},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Ligasure Retractable L Hook","code_information":[{"code":"3700443","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":775,"maximum":2121,"gross_charge":2039,"discounted_cash":1529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":775},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1431},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":775}]}]},{"description":"Catheter W/ Intro Kit","code_information":[{"code":"3700747","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":774,"maximum":2120,"gross_charge":2038,"discounted_cash":1529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":774},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774}]}]},{"description":"Drill Bit/qc 4.3mm 280mm","code_information":[{"code":"3700964","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":772,"maximum":2112,"gross_charge":2031,"discounted_cash":1523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":772},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"Commercial","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":772},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772}]}]},{"description":"Optifix At 30","code_information":[{"code":"3700142","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":771,"maximum":2111,"gross_charge":2030,"discounted_cash":1523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":771},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"United Healthcare","plan_name":"Commercial","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":771},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771}]}]},{"description":"Tube/blakemore Esophogeal-nasogastric","code_information":[{"code":"3257363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":771,"maximum":2111,"gross_charge":2030,"discounted_cash":1523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":771},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"United Healthcare","plan_name":"Commercial","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":771},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771}]}]},{"description":"Plate-t Lcp 52mm Oblique/left #241.931","code_information":[{"code":"3258790","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":771,"maximum":2109,"gross_charge":2028,"discounted_cash":1521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":771},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"United Healthcare","plan_name":"Commercial","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":771},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771}]}]},{"description":"Blade Helical 110mm","code_information":[{"code":"3250368","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":770,"maximum":2106,"gross_charge":2025,"discounted_cash":1519,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":770},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":770}]}]},{"description":"Screw Headed 3.0x32 Mm","code_information":[{"code":"3700271","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":769,"maximum":2104,"gross_charge":2023,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":769}]}]},{"description":"Mra Head Wo","code_information":[{"code":"4180123-TC","type":"CDM"},{"code":"615","type":"RC"},{"code":"70544","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":768,"maximum":2103,"gross_charge":2022,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Mr Pelvis Bones Joints Muscles Wo","code_information":[{"code":"4181224-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72195","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":768,"maximum":2103,"gross_charge":2022,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Mr Pelvis Gi Gu Gyn Wo","code_information":[{"code":"4181222-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72195","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":768,"maximum":2103,"gross_charge":2022,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Mr Pelvis (Prostate) Wo","code_information":[{"code":"4181242-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72195","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":768,"maximum":2103,"gross_charge":2022,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Mr Lower Ext Left Wo Contrast","code_information":[{"code":"4180085-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73718","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":768,"maximum":2103,"gross_charge":2022,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Mr Lower Ext Right Wo Contrast","code_information":[{"code":"4180186-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73718","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":768,"maximum":2103,"gross_charge":2022,"discounted_cash":1517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Fast-fix Meniscal Rev Curv","code_information":[{"code":"3251389","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":768,"maximum":2101,"gross_charge":2020,"discounted_cash":1515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":768},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768}]}]},{"description":"Screw Break-off 2x11mm","code_information":[{"code":"3700802","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":767,"maximum":2099,"gross_charge":2018,"discounted_cash":1514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":767},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1417},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":767},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767}]}]},{"description":"Screw Break-off 2x12mm","code_information":[{"code":"3700943","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":767,"maximum":2099,"gross_charge":2018,"discounted_cash":1514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":767},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1417},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":767},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767}]}]},{"description":"Screw/comp Headless #02.226.030","code_information":[{"code":"3250143","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":766,"maximum":2098,"gross_charge":2017,"discounted_cash":1513,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":766},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"United Healthcare","plan_name":"Commercial","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":766},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Ultrasound pelvis through vagina","code_information":[{"code":"4060062-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76830","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":766,"maximum":2098,"gross_charge":2017,"discounted_cash":1513,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":766},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"United Healthcare","plan_name":"Commercial","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":766},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Us Pelvic Complete","code_information":[{"code":"4060075-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76856","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":766,"maximum":2098,"gross_charge":2017,"discounted_cash":1513,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":766},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"United Healthcare","plan_name":"Commercial","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":766},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Ct Chest W Wo","code_information":[{"code":"4050023","type":"CDM"},{"code":"352","type":"RC"},{"code":"71270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2095,"gross_charge":2014,"discounted_cash":1511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Ball Moduar Cathcart","code_information":[{"code":"3251382","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2095,"gross_charge":2014,"discounted_cash":1511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Endostitch Suture Device","code_information":[{"code":"3700076","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2095,"gross_charge":2014,"discounted_cash":1511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Us Biophysical  Fetal Prof W  Non Stress","code_information":[{"code":"4060073-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76818","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":765,"maximum":2095,"gross_charge":2014,"discounted_cash":1511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Screw/comp Headless #02.226.026","code_information":[{"code":"3259859","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2092,"gross_charge":2012,"discounted_cash":1509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Screw/comp Headless #02.226.028","code_information":[{"code":"3250242","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2092,"gross_charge":2012,"discounted_cash":1509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Screw/comp Headless #02.226.032","code_information":[{"code":"3250139","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2092,"gross_charge":2012,"discounted_cash":1509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Screw/comp Headless #02.226.034","code_information":[{"code":"3250140","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2092,"gross_charge":2012,"discounted_cash":1509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Endo Stitch 10mm #173016","code_information":[{"code":"3256152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":765,"maximum":2092,"gross_charge":2012,"discounted_cash":1509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":765},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Colonoscopy 4 Hrs","code_information":[{"code":"3280019","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":764,"maximum":2090,"gross_charge":2010,"discounted_cash":1508,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":764},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":764}]}]},{"description":"Anchor/bio Knotless","code_information":[{"code":"3250766","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":762,"maximum":2086,"gross_charge":2006,"discounted_cash":1505,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":762},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"Commercial","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":762},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762}]}]},{"description":"2.7 Drill Bit","code_information":[{"code":"3700179","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700179","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":761,"maximum":2083,"gross_charge":2003,"discounted_cash":1502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1343},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":761},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2083},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":761},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Patch 3d Prolene #3dpl","code_information":[{"code":"3259028","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":760,"maximum":2081,"gross_charge":2001,"discounted_cash":1501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1341},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":760},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"United Healthcare","plan_name":"Commercial","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":760},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760}]}]},{"description":"Ortholoc Mini Screw 2.0x18mm 4942018l","code_information":[{"code":"3700071","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":760,"maximum":2081,"gross_charge":2001,"discounted_cash":1501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1341},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":760},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"United Healthcare","plan_name":"Commercial","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":760},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760}]}]},{"description":"Nm Bone Imaging; Whole Body","code_information":[{"code":"4060321","type":"CDM"},{"code":"341","type":"RC"},{"code":"78306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":760,"maximum":2080,"gross_charge":2000,"discounted_cash":1500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":760},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760}]}]},{"description":"Mesh Ventralight 8  Circle","code_information":[{"code":"3700548","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":759,"maximum":2078,"gross_charge":1998,"discounted_cash":1499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":759},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1998},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1998},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1998},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1998},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1998},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759}]}]},{"description":"Sonicision Dissector7 39cm","code_information":[{"code":"3700788","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700788","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":759,"maximum":2077,"gross_charge":1997,"discounted_cash":1498,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":759},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759}]}]},{"description":"Yoco Lapidus Double Sided","code_information":[{"code":"3700425","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700425","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":759,"maximum":2077,"gross_charge":1997,"discounted_cash":1498,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":759},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759}]}]},{"description":"Yoco Lapidus Single","code_information":[{"code":"3700458","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700458","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":759,"maximum":2077,"gross_charge":1997,"discounted_cash":1498,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":759},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759}]}]},{"description":"Anchor Healix Peek 3","code_information":[{"code":"3250924","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":758,"maximum":2076,"gross_charge":1996,"discounted_cash":1497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":758},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758}]}]},{"description":"Musk Auto Ab Mayo","code_information":[{"code":"4017649","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":758,"maximum":2075,"gross_charge":1995,"discounted_cash":1496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":758},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758}]}]},{"description":"Epinephrine Auto-injector *Jr*","code_information":[{"code":"4077791","type":"CDM"},{"code":"250","type":"RC"},{"code":"49502050102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":758,"maximum":2801,"gross_charge":1995,"discounted_cash":1496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":758},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cta Neck","code_information":[{"code":"4050206-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70498","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":754,"maximum":2064,"gross_charge":1985,"discounted_cash":1489,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":754},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2064},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Ct Chest Wo","code_information":[{"code":"4050021-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"71250","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":754,"maximum":2063,"gross_charge":1984,"discounted_cash":1488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":754},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Commercial","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":754},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Drill/pilot 4.0 Long #7163-1110","code_information":[{"code":"3258219","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":754,"maximum":2062,"gross_charge":1983,"discounted_cash":1487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":754},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Commercial","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":754},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Us Retroperitoneum Complete","code_information":[{"code":"4060057-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76770","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":754,"maximum":2062,"gross_charge":1983,"discounted_cash":1487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":754},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Commercial","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":754},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Ct Abd Wo","code_information":[{"code":"4050003-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74150","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":751,"maximum":2056,"gross_charge":1977,"discounted_cash":1483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1388},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"Commercial","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":751},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751}]}]},{"description":"Ligasure Open Device 36mmx18cm","code_information":[{"code":"3259341","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":750,"maximum":2053,"gross_charge":1974,"discounted_cash":1481,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750}]}]},{"description":"MRI Scan","code_information":[{"code":"4181215-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70553","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":749,"maximum":2051,"gross_charge":1972,"discounted_cash":1479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":749},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749}]}]},{"description":"Screw Fuzefix Tw 2.5mmx12mm","code_information":[{"code":"3700846","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":749,"maximum":2050,"gross_charge":1971,"discounted_cash":1478,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":749},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749}]}]},{"description":"Screw Fuzefix Twist Off","code_information":[{"code":"32510017","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":749,"maximum":2050,"gross_charge":1971,"discounted_cash":1478,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":749},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749}]}]},{"description":"Extractor/screw Removal","code_information":[{"code":"3701104","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":749,"maximum":2050,"gross_charge":1971,"discounted_cash":1478,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":749},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749}]}]},{"description":"Drill Bit Cann 2.0mm Dartfire Comp","code_information":[{"code":"3700826","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":746,"maximum":2042,"gross_charge":1963,"discounted_cash":1472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":746},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2042},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":746},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746}]}]},{"description":"Nail/elastic 3.5it X 440mm #475.935","code_information":[{"code":"3258806","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":744,"maximum":2037,"gross_charge":1959,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2037},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"United Healthcare","plan_name":"Commercial","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":744},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744}]}]},{"description":".Molecular Cyto Dna Probe Dhmc","code_information":[{"code":"4016896","type":"CDM"},{"code":"300","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":744,"maximum":2037,"gross_charge":1959,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2037},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"United Healthcare","plan_name":"Commercial","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":744},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744}]}]},{"description":"Drill Bit Cannulated 3.2x170mm 310.65","code_information":[{"code":"3700610","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700610","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":743,"maximum":2034,"gross_charge":1956,"discounted_cash":1467,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":743},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743}]}]},{"description":"Ct Neck Wo","code_information":[{"code":"4050086","type":"CDM"},{"code":"351","type":"RC"},{"code":"70490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":743,"maximum":2033,"gross_charge":1955,"discounted_cash":1466,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2033},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":743},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1955},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743}]}]},{"description":"Plate Lcp 8h 3.5mmx111mm #223.581","code_information":[{"code":"3258780","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":741,"maximum":2027,"gross_charge":1949,"discounted_cash":1462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1368},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741}]}]},{"description":"Immune Globulin (Gamunex) 5 Gram","code_information":[{"code":"4078982","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533080020","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":740,"maximum":2801,"gross_charge":1947,"discounted_cash":1460,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":740},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2025},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740}]}],"drug_information":{"unit":5,"type":"GR"}},{"description":"Radiologic Exam Sngle Plane Bdy Section","code_information":[{"code":"4040203","type":"CDM"},{"code":"320","type":"RC"},{"code":"76100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":738,"maximum":2021,"gross_charge":1943,"discounted_cash":1457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2021},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738}]}]},{"description":"Radiologic Exam Sngle Plane Bdy Section","code_information":[{"code":"4040229","type":"CDM"},{"code":"320","type":"RC"},{"code":"76100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":738,"maximum":2021,"gross_charge":1943,"discounted_cash":1457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2021},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738}]}]},{"description":"Rod/attachment #390.003","code_information":[{"code":"3251504","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251504","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":738,"maximum":2020,"gross_charge":1942,"discounted_cash":1457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738}]}]},{"description":"Cable 1.7mm #298.801.01s","code_information":[{"code":"3258109","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":738,"maximum":2020,"gross_charge":1942,"discounted_cash":1457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738}]}]},{"description":"Nail/elastic 4.0it X 440mm #475.940","code_information":[{"code":"3258804","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":737,"maximum":2017,"gross_charge":1939,"discounted_cash":1454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":737},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737}]}]},{"description":"Gelfilm Absorbable 1x6 Film","code_information":[{"code":"3258902","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":737,"maximum":2017,"gross_charge":1939,"discounted_cash":1454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":737},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737}]}]},{"description":"Mra Spine W Or Wo","code_information":[{"code":"4180124-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72159","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":737,"maximum":2017,"gross_charge":1939,"discounted_cash":1454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":737},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737}]}]},{"description":"Ctv Head","code_information":[{"code":"4050250-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70496","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":737,"maximum":2017,"gross_charge":1939,"discounted_cash":1454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":737},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2017},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737}]}]},{"description":"Ct Neck W And Wo","code_information":[{"code":"4050088-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70492","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":735,"maximum":2011,"gross_charge":1934,"discounted_cash":1451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2011},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1600},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"United Healthcare","plan_name":"Commercial","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":735},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735}]}]},{"description":"Plate Lcp Recon 8hx112mm #245.081","code_information":[{"code":"3252123","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":735,"maximum":2010,"gross_charge":1933,"discounted_cash":1450,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1836},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1357},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1836},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735}]}]},{"description":"Angel Prep Kit","code_information":[{"code":"3700347","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700347","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":733,"maximum":2007,"gross_charge":1930,"discounted_cash":1448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":733},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"United Healthcare","plan_name":"Commercial","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":733},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Omnispam Meniscal Repair 12","code_information":[{"code":"3250361","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":733,"maximum":2006,"gross_charge":1929,"discounted_cash":1447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":733},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Anchor Gii Quick + Ortho Cord","code_information":[{"code":"3259139","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":732,"maximum":2004,"gross_charge":1927,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2004},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"Commercial","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":732},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732}]}]},{"description":"Diagnostic exam of large bowel using an endoscope","code_information":[{"code":"3281114","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":732,"maximum":2003,"gross_charge":1926,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1830},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1830},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732}]}]},{"description":"Plate 2h 1.5 Ox","code_information":[{"code":"3251961","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":731,"maximum":2001,"gross_charge":1924,"discounted_cash":1443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731}]}]},{"description":"Drill/pilot Ao 4.0 Long #7163-1121","code_information":[{"code":"3250870","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250870","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":730,"maximum":1999,"gross_charge":1922,"discounted_cash":1442,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":730},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1999},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730}]}]},{"description":"Hernia Patch/medium Ventralex Dvl5950008","code_information":[{"code":"3259608","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":729,"maximum":1996,"gross_charge":1919,"discounted_cash":1439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1347},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":729},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1919},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729}]}]},{"description":"Recovery Room Charge >360","code_information":[{"code":"3220020","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":727,"maximum":1991,"gross_charge":1914,"discounted_cash":1436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":727},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Screw/comp Headless #02.226.120","code_information":[{"code":"3250723","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":727,"maximum":1991,"gross_charge":1914,"discounted_cash":1436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":727},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Screw/comp Headless #02.226.124","code_information":[{"code":"3250662","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":727,"maximum":1991,"gross_charge":1914,"discounted_cash":1436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":727},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Screw/comp Headless #02.226.126","code_information":[{"code":"3250934","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":727,"maximum":1991,"gross_charge":1914,"discounted_cash":1436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":727},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Screw/comp Headless #02.226.128","code_information":[{"code":"3250994","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":727,"maximum":1991,"gross_charge":1914,"discounted_cash":1436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":727},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Transfusion, Blood Or Blood Comp 6-8 Hrs","code_information":[{"code":"3290124","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":727,"maximum":1990,"gross_charge":1913,"discounted_cash":1435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":727},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1990},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Commercial","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":727},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Plate/recon 3.5mm 15-hole #245.051","code_information":[{"code":"3258702","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3258702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":726,"maximum":1987,"gross_charge":1911,"discounted_cash":1433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726}]}]},{"description":"Plasma Button #Wa22657s","code_information":[{"code":"3251338","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251338","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":726,"maximum":1986,"gross_charge":1910,"discounted_cash":1433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726}]}]},{"description":"Suture Shuttle 45* Right #251004","code_information":[{"code":"3250765","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250765","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":725,"maximum":1985,"gross_charge":1909,"discounted_cash":1432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Suture Shuttle/1 Deal #251005","code_information":[{"code":"3250604","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":725,"maximum":1985,"gross_charge":1909,"discounted_cash":1432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Drill Bit/cann 2.0x150mm 310.221","code_information":[{"code":"3259861","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":725,"maximum":1985,"gross_charge":1909,"discounted_cash":1432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Tenodesis Screw Peek #Ar1655ps","code_information":[{"code":"3251417","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":725,"maximum":1984,"gross_charge":1908,"discounted_cash":1431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Voyant Maryland Fusion Device","code_information":[{"code":"3700150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":725,"maximum":1983,"gross_charge":1907,"discounted_cash":1430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"Commercial","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":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Voyant Open Fusion Device","code_information":[{"code":"3700149","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":725,"maximum":1983,"gross_charge":1907,"discounted_cash":1430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"Commercial","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":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Pemetrexed 100 Mg Vial","code_information":[{"code":"4078461","type":"CDM"},{"code":"636","type":"RC"},{"code":"27640","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":725,"maximum":1983,"gross_charge":1907,"discounted_cash":1430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"Commercial","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":725},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Fibertak Knotless Disp Kit Ar-8991ds","code_information":[{"code":"3700344","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700344","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":1981,"gross_charge":1905,"discounted_cash":1429,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"United Healthcare","plan_name":"Commercial","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":724},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"Rabies Immune Globulin 2 Ml Vial","code_information":[{"code":"4074445","type":"CDM"},{"code":"636","type":"RC"},{"code":"49281019020","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":723,"maximum":2801,"gross_charge":1903,"discounted_cash":1427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Aces Bag W/trocar  #Gtk17","code_information":[{"code":"3251661","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251661","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":722,"maximum":1976,"gross_charge":1900,"discounted_cash":1425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":722},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722}]}]},{"description":"Screw/ambi Lag 85mm #12-1106","code_information":[{"code":"3253347","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":721,"maximum":1974,"gross_charge":1898,"discounted_cash":1424,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":721},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721}]}]},{"description":"Anchor Bioknotless","code_information":[{"code":"3250603","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250603","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":720,"maximum":1970,"gross_charge":1894,"discounted_cash":1421,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":720},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1330},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"United Healthcare","plan_name":"Commercial","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":720},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":720}]}]},{"description":"Bone Burr Style 2.0x13x72 P65-105-2013-s","code_information":[{"code":"3700935","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":717,"maximum":1964,"gross_charge":1888,"discounted_cash":1416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":717},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1325},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717}]}]},{"description":"Radiologic Exam Sngle Plane Bdy Section","code_information":[{"code":"4040194","type":"CDM"},{"code":"320","type":"RC"},{"code":"76100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":717,"maximum":1961,"gross_charge":1886,"discounted_cash":1415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":717},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":717},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717}]}]},{"description":"Adalimumab 40 Mg / 0.8 Ml Syringe","code_information":[{"code":"4077503","type":"CDM"},{"code":"636","type":"RC"},{"code":"74379","type":"CPT","modifier":"902"}],"standard_charges":[{"setting":"outpatient","modifier_code":["902"],"minimum":716,"maximum":1960,"gross_charge":1885,"discounted_cash":1414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1323},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"United Healthcare","plan_name":"Commercial","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":716},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Mesh/xlg Prefix Plug #0112780","code_information":[{"code":"3258165","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":716,"maximum":1958,"gross_charge":1883,"discounted_cash":1412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1322},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716}]}]},{"description":"Cta Head","code_information":[{"code":"4050207-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70496","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":716,"maximum":1958,"gross_charge":1883,"discounted_cash":1412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1322},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716}]}]},{"description":"Drill Bit Cannulated 3.2x170mm 310.65","code_information":[{"code":"3700621","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":715,"maximum":1957,"gross_charge":1882,"discounted_cash":1412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":715},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"Myelin Oligodendrocyte Glyco (Mog) Mayo","code_information":[{"code":"4017807","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":715,"maximum":1957,"gross_charge":1882,"discounted_cash":1412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":715},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"Screw/milagno Interference 8x23mm","code_information":[{"code":"3259075","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":715,"maximum":1956,"gross_charge":1881,"discounted_cash":1411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":715},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1320},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"T-tube Silicone 6fr","code_information":[{"code":"3700566","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700566","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":715,"maximum":1956,"gross_charge":1881,"discounted_cash":1411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":715},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1320},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"Needle/expressew #214141","code_information":[{"code":"3251044","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":714,"maximum":1953,"gross_charge":1878,"discounted_cash":1409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":714},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1953},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Screw Cannulated Hd 4mm X 42mm","code_information":[{"code":"3700945","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":714,"maximum":1953,"gross_charge":1878,"discounted_cash":1409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":714},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1953},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Screw Cannulated Hd 3mm X 34mm","code_information":[{"code":"3701088","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":714,"maximum":1953,"gross_charge":1878,"discounted_cash":1409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":714},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1953},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Respiratory  Pathogen Panel Pcr Mayo","code_information":[{"code":"4017684","type":"CDM"},{"code":"300","type":"RC"},{"code":"0202U","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":714,"maximum":1953,"gross_charge":1878,"discounted_cash":1409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":714},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1953},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Darbepoetin 100 Mcg / 1 Ml","code_information":[{"code":"4070238","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513000504","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":713,"maximum":2801,"gross_charge":1875,"discounted_cash":1406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1781},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1781},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"4.0 Screw/cannulated 24mm","code_information":[{"code":"3700022","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":712,"maximum":1949,"gross_charge":1874,"discounted_cash":1406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":712},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":712},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712}]}]},{"description":"Cta  Abdomen  Aorta  W Contrast","code_information":[{"code":"4050201-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"74175","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":712,"maximum":1949,"gross_charge":1874,"discounted_cash":1406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":712},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":712},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712}]}]},{"description":"Ct Upper Ext Left With Contrast","code_information":[{"code":"4050220-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73201","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":712,"maximum":1949,"gross_charge":1874,"discounted_cash":1406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":712},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":712},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712}]}]},{"description":"Ct Upper Ext Right With Contrast","code_information":[{"code":"4050221-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73201","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":712,"maximum":1949,"gross_charge":1874,"discounted_cash":1406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":712},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":712},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712}]}]},{"description":"Kit/ridgidfix 2.7btb Cross Pin","code_information":[{"code":"3259453","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259453","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":711,"maximum":1946,"gross_charge":1871,"discounted_cash":1403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Commercial","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":711},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"Device/voyant 15mm Fusion","code_information":[{"code":"3252029","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":711,"maximum":1946,"gross_charge":1871,"discounted_cash":1403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Commercial","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":711},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"Device/voyant Fine Fusion","code_information":[{"code":"3252028","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":711,"maximum":1946,"gross_charge":1871,"discounted_cash":1403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Commercial","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":711},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"Tray/russell Gastrostomy","code_information":[{"code":"3258840","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258840","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":711,"maximum":1946,"gross_charge":1871,"discounted_cash":1403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Commercial","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":711},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"Screw/comp Long Thread #02.226.130","code_information":[{"code":"3251768","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":710,"maximum":1943,"gross_charge":1868,"discounted_cash":1401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":710},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710}]}]},{"description":"Putty Beast Injectible 1.0cc","code_information":[{"code":"3700726","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":710,"maximum":1943,"gross_charge":1868,"discounted_cash":1401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":710},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710}]}]},{"description":"Transfusion, Blood Or Blood Comp 4-6 Hrs","code_information":[{"code":"3290123","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":1938,"gross_charge":1863,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Drill Bit Cal Solid Standard 2.7mm","code_information":[{"code":"3700833","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":1936,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Drill Bit Cannul 1.7mm","code_information":[{"code":"3700948","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700948","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":1936,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Drill Bit Cannul 2.6mm","code_information":[{"code":"3700845","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":1936,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Driver Torx 4.0mm","code_information":[{"code":"3700947","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700947","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":1936,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Drill Bit Cannul 2.2mm","code_information":[{"code":"3701089","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":1936,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"3.5mm Lcp 3 Head Obq Left 7 Hole 241.971","code_information":[{"code":"3700011","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":706,"maximum":1932,"gross_charge":1858,"discounted_cash":1394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":706},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":706},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":706}]}]},{"description":"Mra Head With","code_information":[{"code":"4180125-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70545","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":705,"maximum":1930,"gross_charge":1856,"discounted_cash":1392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1303},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705}]}]},{"description":"E-kit Cannulated","code_information":[{"code":"3700511","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700511","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":705,"maximum":1929,"gross_charge":1855,"discounted_cash":1391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705}]}]},{"description":"Plate Lcp 3.5x96mm Oblique Right 241.071","code_information":[{"code":"3700008","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":705,"maximum":1929,"gross_charge":1855,"discounted_cash":1391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705}]}]},{"description":"Lapilock Met Cup Bone","code_information":[{"code":"3700525","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700525","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":704,"maximum":1927,"gross_charge":1853,"discounted_cash":1390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1301},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":704},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":704}]}]},{"description":"Colonoscopy 3.5 Hrs","code_information":[{"code":"3280018","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":703,"maximum":1924,"gross_charge":1850,"discounted_cash":1388,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":703},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1299},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":703},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703}]}]},{"description":"3.5mm Lcp 3 Head Obl Right6 Hole 241.161","code_information":[{"code":"3700009","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":703,"maximum":1923,"gross_charge":1849,"discounted_cash":1387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1757},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":703},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1757},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1664},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703}]}]},{"description":"Paraneoplastic Auto Ab Csf Mayo","code_information":[{"code":"4016468","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":700,"maximum":1915,"gross_charge":1841,"discounted_cash":1381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":700},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1915},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"United Healthcare","plan_name":"Commercial","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":700},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700}]}]},{"description":"Platelets Pheresis Irradiated Each","code_information":[{"code":"4020131","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9036","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":697,"maximum":1908,"gross_charge":1835,"discounted_cash":1376,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":697},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":697},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Reload For Prox Linear Cutter 75mm","code_information":[{"code":"3259611","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":696,"maximum":1905,"gross_charge":1832,"discounted_cash":1374,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1286},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696}]}]},{"description":"Screw/evolve Triad Cann 2.5x20mm","code_information":[{"code":"3252084","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":694,"maximum":1899,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":694},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Evolve Triad Cann Screw 2.5x20mm 4942520","code_information":[{"code":"3700073","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":694,"maximum":1899,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":694},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Zhiv 1 Genotype Drug Resist","code_information":[{"code":"4016081","type":"CDM"},{"code":"300","type":"RC"},{"code":"87901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":693,"maximum":1896,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":693},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1280},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Head Dartfire Comp 2.5x18mm","code_information":[{"code":"3700824","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":692,"maximum":1895,"gross_charge":1822,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":692},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":692},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":692}]}]},{"description":"Screw Head Dartfire Comp 2.5x20mm","code_information":[{"code":"3700825","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":692,"maximum":1895,"gross_charge":1822,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":692},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":692},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":692}]}]},{"description":"Hook 3.5 90 Degree #225305","code_information":[{"code":"3259054","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":691,"maximum":1891,"gross_charge":1818,"discounted_cash":1364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":691},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691}]}]},{"description":"Omnispan Meniscal Repair System  #228142","code_information":[{"code":"3250443","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":691,"maximum":1891,"gross_charge":1818,"discounted_cash":1364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":691},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691}]}]},{"description":"3d Max Xlg Mesh Right","code_information":[{"code":"3700153","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":691,"maximum":1891,"gross_charge":1818,"discounted_cash":1364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":691},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691}]}]},{"description":"3d Max Xlg Mesh Left","code_information":[{"code":"3700152","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":691,"maximum":1891,"gross_charge":1818,"discounted_cash":1364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":691},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691}]}]},{"description":"X-Ray of lower back","code_information":[{"code":"4040170","type":"CDM"},{"code":"320","type":"RC"},{"code":"72110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":691,"maximum":1891,"gross_charge":1818,"discounted_cash":1364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":691},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691}]}]},{"description":"Drill Bit Cannulated 3.5x160mm 310.68","code_information":[{"code":"3700016","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1890,"gross_charge":1817,"discounted_cash":1363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1276},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Full Headed 2x16mm","code_information":[{"code":"3700817","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short 2.5x16mm","code_information":[{"code":"3700793","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x32mm","code_information":[{"code":"3700816","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Full Headed 2x14mm","code_information":[{"code":"3700818","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x14mm","code_information":[{"code":"3700596","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x16mm","code_information":[{"code":"3701102","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Full Headed 2x34mm","code_information":[{"code":"3700819","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2.5x34mm","code_information":[{"code":"3700820","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x15mm","code_information":[{"code":"3700775","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x24mm","code_information":[{"code":"3700815","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Full 2.5x28mm","code_information":[{"code":"3700920","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Full Headed 2x12mm","code_information":[{"code":"3700881","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Full Headed 2x13mm","code_information":[{"code":"3700882","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short 2.5x17mm","code_information":[{"code":"3700919","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x13mm","code_information":[{"code":"3700918","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x12mm","code_information":[{"code":"3700944","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x17mm","code_information":[{"code":"3700991","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Headed 2x28mm","code_information":[{"code":"3700998","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Cann Short Threaded 3x12mm","code_information":[{"code":"3700914","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":1889,"gross_charge":1816,"discounted_cash":1362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":690},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Hepatitis B Immune Globulin 5ml (Nf)","code_information":[{"code":"4077458","type":"CDM"},{"code":"636","type":"RC"},{"code":"59730420301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":689,"maximum":2801,"gross_charge":1814,"discounted_cash":1361,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1273},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Ct Neck With","code_information":[{"code":"4050087-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70491","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":688,"maximum":1883,"gross_charge":1811,"discounted_cash":1358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1271},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688}]}]},{"description":"Stapler/auto Plds 15w #092001 (091451)","code_information":[{"code":"3251230","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":687,"maximum":1881,"gross_charge":1809,"discounted_cash":1357,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687}]}]},{"description":"Hypersensitivity Pneumonitis Avian Panel","code_information":[{"code":"4016461","type":"CDM"},{"code":"300","type":"RC"},{"code":"86331","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":687,"maximum":1880,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":687},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1269},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687}]}]},{"description":"Us Ob Comp < 14 Weeks","code_information":[{"code":"4060055-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76801","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":686,"maximum":1878,"gross_charge":1806,"discounted_cash":1355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":686},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686}]}]},{"description":"Abdomial ultrasound of pregnant uterus","code_information":[{"code":"4060072-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76805","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":686,"maximum":1878,"gross_charge":1806,"discounted_cash":1355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":686},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686}]}]},{"description":"Plate Evos 3.5mm 8h 94mm","code_information":[{"code":"3700811","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":686,"maximum":1877,"gross_charge":1805,"discounted_cash":1354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":686},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686}]}]},{"description":"Fast-fix Memiscal Knot Pusher #72201537","code_information":[{"code":"3258116","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":684,"maximum":1873,"gross_charge":1801,"discounted_cash":1351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":684},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684}]}]},{"description":"Screw Locking 2.7x20mm","code_information":[{"code":"3250556","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":684,"maximum":1872,"gross_charge":1800,"discounted_cash":1350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":684},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684}]}]},{"description":"Drill Bit Cannulated 2.2mm","code_information":[{"code":"32510025","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":684,"maximum":1872,"gross_charge":1800,"discounted_cash":1350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":684},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684}]}]},{"description":"Screw/comp Headless #02.226.038","code_information":[{"code":"3250663","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":682,"maximum":1868,"gross_charge":1796,"discounted_cash":1347,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1261},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682}]}]},{"description":".Charge Hep C Genotype Rna Mayo","code_information":[{"code":"4017968","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":682,"maximum":1867,"gross_charge":1795,"discounted_cash":1346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1260},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682}]}]},{"description":".Tiss Stain-ipex Rrmc","code_information":[{"code":"4011240-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":682,"maximum":1866,"gross_charge":1794,"discounted_cash":1346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1381},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":682},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682}]}]},{"description":"Screw/conical  Cann 7.3x60 #02.207.060","code_information":[{"code":"3250299","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":681,"maximum":1864,"gross_charge":1792,"discounted_cash":1344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":681},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1258},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"United Healthcare","plan_name":"Commercial","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":681},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681}]}]},{"description":"Colag 2/2.5 Kit","code_information":[{"code":"3700731","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":680,"maximum":1862,"gross_charge":1790,"discounted_cash":1343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":680},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"Colink 3/3/5 Kit","code_information":[{"code":"3700730","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":680,"maximum":1862,"gross_charge":1790,"discounted_cash":1343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":680},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"Cyclophosphamide 1000 Mg Vial","code_information":[{"code":"4079114","type":"CDM"},{"code":"636","type":"RC"},{"code":"78132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":680,"maximum":1861,"gross_charge":1789,"discounted_cash":1342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":680},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Ct Cyst Aspiration","code_information":[{"code":"4050053","type":"CDM"},{"code":"351","type":"RC"},{"code":"77012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":679,"maximum":1860,"gross_charge":1788,"discounted_cash":1341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":679},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1860},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"United Healthcare","plan_name":"Commercial","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":679},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679}]}]},{"description":"Ct Guided Needle Localization","code_information":[{"code":"4050247-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"77012","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":679,"maximum":1860,"gross_charge":1788,"discounted_cash":1341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":679},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1860},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"United Healthcare","plan_name":"Commercial","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":679},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679}]}]},{"description":"Plate Lcp 6h 3.5mmx85mm #223.561","code_information":[{"code":"3258779","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":679,"maximum":1858,"gross_charge":1787,"discounted_cash":1340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":679},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679}]}]},{"description":"Plate Lcp 12h 3.5mmx163mm #223.621","code_information":[{"code":"3258818","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":678,"maximum":1855,"gross_charge":1784,"discounted_cash":1338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":678},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"Commercial","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":678},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1784},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Centralizer/distal 13mm #7131-3213","code_information":[{"code":"3257752","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":678,"maximum":1854,"gross_charge":1783,"discounted_cash":1337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":678},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Centralizer/distal 15mm #7131-3215","code_information":[{"code":"3257007","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":678,"maximum":1854,"gross_charge":1783,"discounted_cash":1337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":678},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Centralizer/distal 8mm #7131-3208","code_information":[{"code":"3257918","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":678,"maximum":1854,"gross_charge":1783,"discounted_cash":1337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":678},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Quick Fix Screw 2x14mm","code_information":[{"code":"3700167","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1851,"gross_charge":1780,"discounted_cash":1335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1691},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1691},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw Trigen Low Profile 4.5mmx50mm","code_information":[{"code":"3700668","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw/trigen 5x45 #7164-5045","code_information":[{"code":"3250911","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw Trigen Low Profile 4.5mmx30mm","code_information":[{"code":"3700666","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw Trigen Low Profile 4.5mmx35mm","code_information":[{"code":"3700667","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw Trigen Low Profile 4.5mmx45mm","code_information":[{"code":"3700669","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw Trigen Lp 5mmx75mm","code_information":[{"code":"3700777","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw/trigen 5.0x30mm","code_information":[{"code":"3251983","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw/trigen 5.0x80mm","code_information":[{"code":"3251985","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw/trigen L-p #7164-5040","code_information":[{"code":"3250888","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Headed Screw 4.0mm X 36mm","code_information":[{"code":"3700193","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw Low Profile 5x35mm","code_information":[{"code":"3700744","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Screw/trigen L-p #7164-5065","code_information":[{"code":"3250887","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":676,"maximum":1850,"gross_charge":1779,"discounted_cash":1334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":676},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"Commercial","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":676},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Electrode/vapr Suction W/ Handpiece","code_information":[{"code":"3251436","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":675,"maximum":1847,"gross_charge":1776,"discounted_cash":1332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1598},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675}]}]},{"description":"Screw Trigen Low Profile 4.5mmx65mm","code_information":[{"code":"3700790","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen Low Profile 5.0x55 Mm","code_information":[{"code":"3700932","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen Low Profile 5.0x60mm","code_information":[{"code":"3252010","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw Trigen Low Profile 4.5mmx32mm","code_information":[{"code":"3700791","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw Trigen Low Profile 4.5mmx40mm","code_information":[{"code":"3700792","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen Low Profile 4.5x25mm","code_information":[{"code":"3700928","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Trigen Low Pro Screw 5.0mmx70mm","code_information":[{"code":"3700094","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen 5.0x27.5 Mm","code_information":[{"code":"3700252","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen 5x50 #7164-5050","code_information":[{"code":"3250909","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen 5x37.5 #7164-5037","code_information":[{"code":"3250910","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Screw/trigen Low Profile 5.0x32.5mm","code_information":[{"code":"3252011","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":674,"maximum":1845,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674}]}]},{"description":"Or1 Nurse 31-45","code_information":[{"code":"3210202","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":1841,"gross_charge":1770,"discounted_cash":1328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":673},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Us Infant Hips Req Phys Manipula","code_information":[{"code":"4060221","type":"CDM"},{"code":"402","type":"RC"},{"code":"76885","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":1841,"gross_charge":1770,"discounted_cash":1328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":673},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Medtronic Spacemaker Pro Access & Dissec","code_information":[{"code":"3700116","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":1841,"gross_charge":1770,"discounted_cash":1328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":673},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Electrode/lowprofile Suction #225361","code_information":[{"code":"3259056","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":671,"maximum":1837,"gross_charge":1766,"discounted_cash":1325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":671},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"Commercial","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":671},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":671}]}]},{"description":"Pin Cortical Bone Allomate 2.0mm","code_information":[{"code":"3700773","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Allomate Instrument Sys 2.0mm","code_information":[{"code":"3700772","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700772","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Allomate Instrument Sys 2.5mm","code_information":[{"code":"3700770","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700770","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Kit Allomate 2.5","code_information":[{"code":"32510013","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510013","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Drill Bit Cal Solid Mf 2.7mm","code_information":[{"code":"3700848","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Sterile Joint Prep Inst Kit","code_information":[{"code":"3700197","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Voyant Fine Fusion Device","code_information":[{"code":"3700247","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700247","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":1835,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Spine Cerv W Ob Fl Ex 6 V","code_information":[{"code":"4040164-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72052","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":670,"maximum":1834,"gross_charge":1763,"discounted_cash":1322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"United Healthcare","plan_name":"Commercial","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":670},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670}]}]},{"description":"Us Extremity Left Complete","code_information":[{"code":"4060231-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76881","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":669,"maximum":1830,"gross_charge":1760,"discounted_cash":1320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":669},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1236},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"Us Extremity Right Complete","code_information":[{"code":"4060232-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76881","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":669,"maximum":1830,"gross_charge":1760,"discounted_cash":1320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":669},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1236},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"Bit Drill 3.2","code_information":[{"code":"3252119","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":667,"maximum":1824,"gross_charge":1754,"discounted_cash":1316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":667},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Commercial","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":667},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Electrode/hf-resection #A22257c","code_information":[{"code":"3250885","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250885","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":667,"maximum":1824,"gross_charge":1754,"discounted_cash":1316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":667},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Commercial","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":667},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Retractor/endo Paddle 12mm","code_information":[{"code":"3701125","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":667,"maximum":1824,"gross_charge":1754,"discounted_cash":1316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":667},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Commercial","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":667},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Us Breast Biopsy Lt","code_information":[{"code":"4003013-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"19083","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":667,"maximum":1824,"gross_charge":1754,"discounted_cash":1316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":667},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Commercial","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":667},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Us Breast Biopsy Rt","code_information":[{"code":"4003002-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"19083","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":667,"maximum":1824,"gross_charge":1754,"discounted_cash":1316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":667},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Commercial","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":667},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Barium Swallow  Xray Of Esophagus","code_information":[{"code":"4040145-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74220","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":665,"maximum":1820,"gross_charge":1750,"discounted_cash":1313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":665},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1820},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665}]}]},{"description":"Retrograde Pyelo","code_information":[{"code":"4040272","type":"CDM"},{"code":"320","type":"RC"},{"code":"74420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":665,"maximum":1819,"gross_charge":1749,"discounted_cash":1312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":665},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"United Healthcare","plan_name":"Commercial","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":665},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665}]}]},{"description":"Retrograde  J Stent","code_information":[{"code":"4040273-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74420","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":665,"maximum":1819,"gross_charge":1749,"discounted_cash":1312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":665},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"United Healthcare","plan_name":"Commercial","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":665},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665}]}]},{"description":"Cta Upper Ext Left","code_information":[{"code":"4050224-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73206","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":663,"maximum":1814,"gross_charge":1744,"discounted_cash":1308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":663},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"Commercial","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":663},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663}]}]},{"description":"Cta Upper Ext Right","code_information":[{"code":"4050225-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73206","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":663,"maximum":1814,"gross_charge":1744,"discounted_cash":1308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":663},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"Commercial","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":663},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663}]}]},{"description":"Mr Face Neck Wo","code_information":[{"code":"4180101","type":"CDM"},{"code":"610","type":"RC"},{"code":"70540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":662,"maximum":1813,"gross_charge":1743,"discounted_cash":1307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":662},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1224},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662}]}]},{"description":"Cholangiogram Trans","code_information":[{"code":"4040309","type":"CDM"},{"code":"320","type":"RC"},{"code":"47532","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":662,"maximum":1812,"gross_charge":1742,"discounted_cash":1307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":662},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"United Healthcare","plan_name":"Commercial","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":662},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662}]}]},{"description":"Biopsy Cup 3.3fr 115cm Oval","code_information":[{"code":"3700214","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":662,"maximum":1811,"gross_charge":1741,"discounted_cash":1306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":662},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1222},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"United Healthcare","plan_name":"Commercial","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":662},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662}]}]},{"description":"Mra Upper Ext Left W And Wo Contrast","code_information":[{"code":"4180174-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73225","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":661,"maximum":1810,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"United Healthcare","plan_name":"Commercial","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":661},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661}]}]},{"description":"Mra Upper Ext Right W And W/o","code_information":[{"code":"4180175-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73225","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":661,"maximum":1810,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"United Healthcare","plan_name":"Commercial","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":661},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661}]}]},{"description":"Mr Face Neck With","code_information":[{"code":"4180143-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70542","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":660,"maximum":1808,"gross_charge":1738,"discounted_cash":1304,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":660},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660}]}]},{"description":"Epidural Placement L&d","code_information":[{"code":"4080237","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":660,"maximum":1806,"gross_charge":1737,"discounted_cash":1303,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":660},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"United Healthcare","plan_name":"Commercial","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":660},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660}]}]},{"description":"Fast-fix Memiscal Knot Pusher #72202674","code_information":[{"code":"3251388","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251388","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":660,"maximum":1805,"gross_charge":1736,"discounted_cash":1302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":660},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660}]}]},{"description":"Recovery Room Charge 241-300","code_information":[{"code":"3220018","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":659,"maximum":1802,"gross_charge":1733,"discounted_cash":1300,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659}]}]},{"description":"Mr Lower Ext Left With Contrast","code_information":[{"code":"4181188-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73719","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":659,"maximum":1802,"gross_charge":1733,"discounted_cash":1300,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659}]}]},{"description":"Mr Lower Ext Right With Contrast","code_information":[{"code":"4181187-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73719","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":659,"maximum":1802,"gross_charge":1733,"discounted_cash":1300,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659}]}]},{"description":"Kit/cath Bipolar Pacing #97-k12- F5","code_information":[{"code":"3250504","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250504","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":658,"maximum":1800,"gross_charge":1731,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1215},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"United Healthcare","plan_name":"Commercial","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":658},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":658}]}]},{"description":"Screw/ambi Lag 110mm #12-1111","code_information":[{"code":"3253352","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":657,"maximum":1798,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":657},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"United Healthcare","plan_name":"Commercial","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":657},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657}]}]},{"description":"Screw/ambi Lag 120mm #12-1113","code_information":[{"code":"3253354","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":657,"maximum":1798,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":657},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"United Healthcare","plan_name":"Commercial","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":657},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657}]}]},{"description":"Us Sonohysterogram W Colr Dop","code_information":[{"code":"4060063","type":"CDM"},{"code":"402","type":"RC"},{"code":"76831","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":657,"maximum":1797,"gross_charge":1728,"discounted_cash":1296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":657},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1797},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"United Healthcare","plan_name":"Commercial","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":657},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657}]}]},{"description":"Endoscopy2 Nurse 31-60","code_information":[{"code":"3280206","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":1796,"gross_charge":1727,"discounted_cash":1295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":656},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Screw/ambi Lag 70mm #12-1103","code_information":[{"code":"3253344","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":1794,"gross_charge":1725,"discounted_cash":1294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":656},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"Commercial","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":656},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Bronchoscope Bflex 5.0 0570-0375","code_information":[{"code":"3700005","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":1794,"gross_charge":1725,"discounted_cash":1294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":656},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"Commercial","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":656},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Onabotulinumtoxina 100 Units (Cosmetic)","code_information":[{"code":"4077969","type":"CDM"},{"code":"636","type":"RC"},{"code":"23923","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":655,"maximum":1792,"gross_charge":1723,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":655},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1210},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"Commercial","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":655},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655}]}],"drug_information":{"unit":100,"type":"UN"}},{"description":"Screw Short Headless 2.5x14mm","code_information":[{"code":"3700933","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cann Headless 2x14mm","code_information":[{"code":"3700600","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Short Headless 2.5x16mm","code_information":[{"code":"3700926","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cann Headless 3x14mm","code_information":[{"code":"3700598","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Short Headless 2.5x15mm","code_information":[{"code":"3700891","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw 3x18mm Cann","code_information":[{"code":"3700521","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cann Headless 2x15mm","code_information":[{"code":"3700597","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cannulated Short 2.5x10mm","code_information":[{"code":"3700768","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cannulated Short 2x10mm","code_information":[{"code":"3700767","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cannulated Short 2x12mm","code_information":[{"code":"3700769","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cann Headless 2x16mm","code_information":[{"code":"3700803","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Cann Headless 2x17mm","code_information":[{"code":"3700925","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Short Headless 2.5x13mm","code_information":[{"code":"3700981","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Cta Pelvis","code_information":[{"code":"4050204-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"72191","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":654,"maximum":1791,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Screw Canc Tap 5x50mm","code_information":[{"code":"3700885","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":654,"maximum":1790,"gross_charge":1721,"discounted_cash":1291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":654},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Commercial","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":654},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Stress Test","code_information":[{"code":"4030110","type":"CDM"},{"code":"482","type":"RC"},{"code":"93017","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":652,"maximum":1786,"gross_charge":1717,"discounted_cash":1288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652}]}]},{"description":"Standby","code_information":[{"code":"4080243","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":651,"maximum":1780,"gross_charge":1712,"discounted_cash":1284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"United Healthcare","plan_name":"Commercial","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":651},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651}]}]},{"description":"Screw Colag 3.0x36","code_information":[{"code":"3700718","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":651,"maximum":1780,"gross_charge":1712,"discounted_cash":1284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"United Healthcare","plan_name":"Commercial","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":651},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651}]}]},{"description":"Endoscopy1 Nurse 121-150","code_information":[{"code":"3280204","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":650,"maximum":1779,"gross_charge":1711,"discounted_cash":1283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":650},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1201},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650}]}]},{"description":"Drill Bit/cann 5.0 310.632","code_information":[{"code":"3700029","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1777,"gross_charge":1709,"discounted_cash":1282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Asp Inj Renal Cyst Pelvis By Need Percut","code_information":[{"code":"4040427","type":"CDM"},{"code":"761","type":"RC"},{"code":"50390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1776,"gross_charge":1708,"discounted_cash":1281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Ct Biopsy Thyroid Percut Core Needle","code_information":[{"code":"4050234","type":"CDM"},{"code":"761","type":"RC"},{"code":"60100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1776,"gross_charge":1708,"discounted_cash":1281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Us Biopsy Thyroid Percut Core Needle","code_information":[{"code":"4060244","type":"CDM"},{"code":"761","type":"RC"},{"code":"60100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1776,"gross_charge":1708,"discounted_cash":1281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Screw/cann Locking 7.3 #02.207.085","code_information":[{"code":"3250031","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1775,"gross_charge":1707,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Commercial","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":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Locking Screw 3.5x16mm","code_information":[{"code":"3700184","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1775,"gross_charge":1707,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Commercial","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":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Locking Screw 3.5x18mm","code_information":[{"code":"3700185","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1775,"gross_charge":1707,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Commercial","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":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Locking Screw 3.5x24mm","code_information":[{"code":"3700186","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1775,"gross_charge":1707,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Commercial","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":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Locking Screw 3.5x28mm","code_information":[{"code":"3700187","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":1775,"gross_charge":1707,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":649},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Commercial","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":649},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Locking Screw 3.5 X 26mm","code_information":[{"code":"3700203","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":648,"maximum":1774,"gross_charge":1706,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":648},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"United Healthcare","plan_name":"Commercial","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":648},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648}]}]},{"description":"Locking Screw 3.5x22mm","code_information":[{"code":"3700202","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":648,"maximum":1774,"gross_charge":1706,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":648},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1198},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"United Healthcare","plan_name":"Commercial","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":648},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648}]}]},{"description":"Drill Bit Evolve Triad 1.3mm","code_information":[{"code":"3252086","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":646,"maximum":1769,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"United Healthcare","plan_name":"Commercial","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":646},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646}]}]},{"description":"Drill Bit Evolve Triad 2.5mm","code_information":[{"code":"3252090","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":646,"maximum":1769,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"United Healthcare","plan_name":"Commercial","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":646},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646}]}]},{"description":"Drill Bit Evolve Triad 3.5mm","code_information":[{"code":"3252092","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":646,"maximum":1769,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"United Healthcare","plan_name":"Commercial","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":646},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646}]}]},{"description":"Cetuximab 100 Mg / 50 Ml Vial","code_information":[{"code":"4077962","type":"CDM"},{"code":"636","type":"RC"},{"code":"66733094823","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":646,"maximum":2801,"gross_charge":1699,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1193},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1529},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Wire/guide 3.0x1000 #7163-1626","code_information":[{"code":"3258188","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":645,"maximum":1766,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":645},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"Spinal Puncture Lumbar Diagnostic","code_information":[{"code":"4080238","type":"CDM"},{"code":"320","type":"RC"},{"code":"62270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":644,"maximum":1764,"gross_charge":1696,"discounted_cash":1272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":644},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"United Healthcare","plan_name":"Commercial","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":644},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644}]}]},{"description":"Us Inj Intermed Joint","code_information":[{"code":"4040463","type":"CDM"},{"code":"761","type":"RC"},{"code":"20606","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":644,"maximum":1764,"gross_charge":1696,"discounted_cash":1272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":644},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"United Healthcare","plan_name":"Commercial","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":644},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644}]}]},{"description":"Spinal Puncture Lumbar Diagnostic","code_information":[{"code":"4080257","type":"CDM"},{"code":"320","type":"RC"},{"code":"62270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":644,"maximum":1764,"gross_charge":1696,"discounted_cash":1272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":644},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"United Healthcare","plan_name":"Commercial","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":644},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644}]}]},{"description":"Cath/groshong Powerport 8 Ofr","code_information":[{"code":"3259888","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1788","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":644,"maximum":1763,"gross_charge":1695,"discounted_cash":1271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":644},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"United Healthcare","plan_name":"Commercial","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":644},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644}]}]},{"description":"Nail/elastic 3.0it X 440mm #475.930","code_information":[{"code":"3258805","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":643,"maximum":1761,"gross_charge":1693,"discounted_cash":1270,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643}]}]},{"description":"Mesh/c-qur #31543","code_information":[{"code":"3250147","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":642,"maximum":1758,"gross_charge":1690,"discounted_cash":1268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":642},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1186},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"United Healthcare","plan_name":"Commercial","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":642},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Drill Bit 2.0mm","code_information":[{"code":"3700552","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700552","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":641,"maximum":1753,"gross_charge":1686,"discounted_cash":1265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":641},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"United Healthcare","plan_name":"Commercial","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":641},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641}]}]},{"description":"Cable/accord 2.0mm W/clamps #7134-0007","code_information":[{"code":"3259531","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":640,"maximum":1752,"gross_charge":1685,"discounted_cash":1264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":640},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"Commercial","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":640},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640}]}]},{"description":"12mm Ti End Cap 20mm Ext Fem Nail","code_information":[{"code":"3700096","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":640,"maximum":1752,"gross_charge":1685,"discounted_cash":1264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":640},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"Commercial","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":640},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640}]}]},{"description":"Screw/cann Locking 7.3x100mm","code_information":[{"code":"3251803","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":640,"maximum":1750,"gross_charge":1683,"discounted_cash":1262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":640},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640}]}]},{"description":"Retrograde Uretho","code_information":[{"code":"4040274-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74450","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":640,"maximum":1750,"gross_charge":1683,"discounted_cash":1262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":640},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640}]}]},{"description":"Dilators, Disposable","code_information":[{"code":"3700385","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700385","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":639,"maximum":1748,"gross_charge":1681,"discounted_cash":1261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"United Healthcare","plan_name":"Commercial","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":639},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639}]}]},{"description":"Image Guide Fluid Collection Tech","code_information":[{"code":"4403002","type":"CDM"},{"code":"320","type":"RC"},{"code":"10030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":635,"maximum":1738,"gross_charge":1671,"discounted_cash":1253,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":635},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"United Healthcare","plan_name":"Commercial","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":635},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":635}]}]},{"description":"Rod 400mm #394.87","code_information":[{"code":"3259508","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":633,"maximum":1733,"gross_charge":1666,"discounted_cash":1250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":633},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":633}]}]},{"description":"Implant/breast Memory Gel 325ml","code_information":[{"code":"3259786","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":632,"maximum":1728,"gross_charge":1662,"discounted_cash":1247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"United Healthcare","plan_name":"Commercial","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":632},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632}]}]},{"description":"Screw/trigen 5.0x95mm","code_information":[{"code":"3251984","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":631,"maximum":1727,"gross_charge":1661,"discounted_cash":1246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":631},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw/trigen Low Profile 5.0x42.5mm","code_information":[{"code":"3252009","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":631,"maximum":1727,"gross_charge":1661,"discounted_cash":1246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":631},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Suture Shuttle 45* Left #251003","code_information":[{"code":"3250839","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":631,"maximum":1726,"gross_charge":1660,"discounted_cash":1245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":631},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Lumbar Puncture","code_information":[{"code":"3190117","type":"CDM"},{"code":"360","type":"RC"},{"code":"62270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":630,"maximum":1725,"gross_charge":1659,"discounted_cash":1244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":630},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630}]}]},{"description":"Nm Renal Flow/function W/ Pharm; Multi","code_information":[{"code":"4060316","type":"CDM"},{"code":"341","type":"RC"},{"code":"78709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":630,"maximum":1724,"gross_charge":1658,"discounted_cash":1244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":630},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1724},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"United Healthcare","plan_name":"Commercial","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":630},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630}]}]},{"description":"Nail Cap/tirgen 5mm","code_information":[{"code":"3259202","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":628,"maximum":1719,"gross_charge":1653,"discounted_cash":1240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"United Healthcare","plan_name":"Commercial","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":628},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628}]}]},{"description":".Stool Biofire Pathogens Pcr","code_information":[{"code":"4017322","type":"CDM"},{"code":"300","type":"RC"},{"code":"87507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":626,"maximum":1714,"gross_charge":1648,"discounted_cash":1236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":626},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626}]}]},{"description":"3d Max Large Left Mesh","code_information":[{"code":"3700155","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":626,"maximum":1713,"gross_charge":1647,"discounted_cash":1235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":626},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1156},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"United Healthcare","plan_name":"Commercial","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":626},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626}]}]},{"description":"Bard 3dmax Mesh Right","code_information":[{"code":"3700117","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":626,"maximum":1713,"gross_charge":1647,"discounted_cash":1235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":626},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1156},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"United Healthcare","plan_name":"Commercial","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":626},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626}]}]},{"description":"Plate/5 Slot 135 #12-4136","code_information":[{"code":"3253333","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3253333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":626,"maximum":1713,"gross_charge":1647,"discounted_cash":1235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":626},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1156},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"United Healthcare","plan_name":"Commercial","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":626},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626}]}]},{"description":"Screw/cann Locking 7.3 #02.207.075","code_information":[{"code":"3250469","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":625,"maximum":1710,"gross_charge":1644,"discounted_cash":1233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":625},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"Commercial","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":625},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625}]}]},{"description":"Screw/cann Locking 7.3x80mm","code_information":[{"code":"3259471","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":625,"maximum":1710,"gross_charge":1644,"discounted_cash":1233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":625},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"Commercial","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":625},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625}]}]},{"description":"Screw/cann Locking 7.3x95mm #02.207.095","code_information":[{"code":"3259988","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":625,"maximum":1710,"gross_charge":1644,"discounted_cash":1233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":625},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"Commercial","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":625},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625}]}]},{"description":"Screw/conical  Cann 7.3x65 #02.207.065","code_information":[{"code":"3259689","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":625,"maximum":1710,"gross_charge":1644,"discounted_cash":1233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":625},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"Commercial","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":625},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625}]}]},{"description":"3.5mm Lcp Oblique 4 Hole 241.941","code_information":[{"code":"3700010","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":624,"maximum":1707,"gross_charge":1641,"discounted_cash":1231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":624},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624}]}]},{"description":"Probe Trunode Gamma","code_information":[{"code":"3700828","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":623,"maximum":1705,"gross_charge":1639,"discounted_cash":1229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1099},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":623},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"United Healthcare","plan_name":"Commercial","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":623},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623}]}]},{"description":"Ultrasound Breast Ltd Bilateral","code_information":[{"code":"4181240-50","type":"CDM"},{"code":"402","type":"RC"},{"code":"76642","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":622,"maximum":1702,"gross_charge":1637,"discounted_cash":1228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1097},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":622},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"United Healthcare","plan_name":"Commercial","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":622},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622}]}]},{"description":"Plate/lcp3.5x63mm Oblique Right 241.041","code_information":[{"code":"3700007","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":622,"maximum":1701,"gross_charge":1636,"discounted_cash":1227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":622},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622}]}]},{"description":"Self Drill Cannula Lag Screw 4.0mmx37","code_information":[{"code":"3700229","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":621,"maximum":1700,"gross_charge":1635,"discounted_cash":1226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":621},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621}]}]},{"description":"Bronchoscope Glide Bflex 5.0mm","code_information":[{"code":"3700808","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":621,"maximum":1699,"gross_charge":1634,"discounted_cash":1226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":621},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"Commercial","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":621},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621}]}]},{"description":"Blade Interior Turbinate 2mm","code_information":[{"code":"3258915","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258915","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":619,"maximum":1693,"gross_charge":1628,"discounted_cash":1221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"United Healthcare","plan_name":"Commercial","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":619},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619}]}]},{"description":"Suretac Iii Bio Fixature #72099002","code_information":[{"code":"3258503","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":618,"maximum":1692,"gross_charge":1627,"discounted_cash":1220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":618},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1142},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"United Healthcare","plan_name":"Commercial","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":618},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618}]}]},{"description":"Lg/mesh Perfix Plug #0112770","code_information":[{"code":"3258164","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":618,"maximum":1690,"gross_charge":1625,"discounted_cash":1219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":618},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"Commercial","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":618},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618}]}]},{"description":"7.3 Ticannulated Screw 32x65 Mm","code_information":[{"code":"3700109","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":618,"maximum":1690,"gross_charge":1625,"discounted_cash":1219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":618},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"Commercial","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":618},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618}]}]},{"description":"Bevacizamab-bvzr 100 Mg / 4 Ml","code_information":[{"code":"4070144","type":"CDM"},{"code":"636","type":"RC"},{"code":"69031","type":"CPT","modifier":"501"}],"standard_charges":[{"setting":"outpatient","modifier_code":["501"],"minimum":614,"maximum":1681,"gross_charge":1616,"discounted_cash":1212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":614},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"United Healthcare","plan_name":"Commercial","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":614},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ball Hip Fracture","code_information":[{"code":"3251609","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":612,"maximum":1675,"gross_charge":1611,"discounted_cash":1208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":612},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612}]}]},{"description":"Ct Head With Contrast","code_information":[{"code":"4050043-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70460","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":612,"maximum":1675,"gross_charge":1611,"discounted_cash":1208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":612},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1611},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612}]}]},{"description":"Allomatrix 1cc","code_information":[{"code":"3258043","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":611,"maximum":1672,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":611},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Drill Bit Cann 1.7x110mm","code_information":[{"code":"3700595","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700595","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":611,"maximum":1672,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":611},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Mixer Cement Rally Mv All In One","code_information":[{"code":"32510020","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":611,"maximum":1672,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":611},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Drill Bit 2.1x120mm Can Ao","code_information":[{"code":"3700520","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700520","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":611,"maximum":1672,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":611},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Planer Bone 8mm","code_information":[{"code":"3700983","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":611,"maximum":1672,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":611},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Pin/guide","code_information":[{"code":"3250868","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250868","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":1666,"gross_charge":1602,"discounted_cash":1202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":609},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"United Healthcare","plan_name":"Commercial","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":609},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609}]}]},{"description":"Pin/guide","code_information":[{"code":"3252019","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":1666,"gross_charge":1602,"discounted_cash":1202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":609},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"United Healthcare","plan_name":"Commercial","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":609},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609}]}]},{"description":"Ct Lower Ext Left With Contrast","code_information":[{"code":"4050210-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73701","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":606,"maximum":1658,"gross_charge":1594,"discounted_cash":1196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":606},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606}]}]},{"description":"Ct Lower Ext Right With Contrast","code_information":[{"code":"4050211-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73701","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":606,"maximum":1658,"gross_charge":1594,"discounted_cash":1196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":606},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606}]}]},{"description":"Cutter/endosopic Liner Ats45","code_information":[{"code":"3259597","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259597","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":606,"maximum":1658,"gross_charge":1594,"discounted_cash":1196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":606},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606}]}]},{"description":"Daratumumab 100 Mg Vial","code_information":[{"code":"4070039","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894050205","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":605,"maximum":2801,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":605},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Peg/ponsky 20fr #003029","code_information":[{"code":"3250163","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":604,"maximum":1654,"gross_charge":1590,"discounted_cash":1193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":604},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604}]}]},{"description":"Pin/guide 7163-1436","code_information":[{"code":"3252006","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":604,"maximum":1654,"gross_charge":1590,"discounted_cash":1193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":604},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604}]}]},{"description":"Pin/guide 3.2mmx343mm","code_information":[{"code":"3251981","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251981","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":604,"maximum":1654,"gross_charge":1590,"discounted_cash":1193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":604},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604}]}]},{"description":"Canc Chips Alloprep System #Cc1l30","code_information":[{"code":"3254404","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":604,"maximum":1653,"gross_charge":1589,"discounted_cash":1192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":604},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604}]}]},{"description":"Fast-fix Memiscal Repair Str #72202467","code_information":[{"code":"3251133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":603,"maximum":1649,"gross_charge":1586,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"United Healthcare","plan_name":"Commercial","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":603},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603}]}]},{"description":"3.5mm Lcp Right Angle 5 Hole","code_information":[{"code":"3700013","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":603,"maximum":1649,"gross_charge":1586,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"United Healthcare","plan_name":"Commercial","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":603},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603}]}]},{"description":"Centralizer/distal 14mm #7131-3214","code_information":[{"code":"3257066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":602,"maximum":1648,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Commercial","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":602},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Goserelin Acetate Implant 10.8 Mg","code_information":[{"code":"4077466","type":"CDM"},{"code":"636","type":"RC"},{"code":"70720095130","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":602,"maximum":2801,"gross_charge":1584,"discounted_cash":1188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602}]}],"drug_information":{"unit":108,"type":"ME"}},{"description":"Fuzefix Mini Hd 3mm X 45mm","code_information":[{"code":"3700435","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":601,"maximum":1645,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":601},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"Fuzefix Mini Hl 3mm X 18mm","code_information":[{"code":"3700432","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":601,"maximum":1645,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":601},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"Screw Cannulated Hd 3mm X 30mm","code_information":[{"code":"3700463","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":601,"maximum":1645,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":601},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"Screw Cannulated Hd 3mm X 32mm","code_information":[{"code":"3700735","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":601,"maximum":1645,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":601},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"Screw Cannulated Hd 3mm X 36mm","code_information":[{"code":"3700618","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":601,"maximum":1645,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":601},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"Screw Cannulated Hd 4mm X 38mm","code_information":[{"code":"3700473","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":601,"maximum":1645,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":601},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"Ti End Cap #04.004.002s","code_information":[{"code":"3250698","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":600,"maximum":1641,"gross_charge":1578,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":600},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600}]}]},{"description":"Tibial/bio Intrarix Lg","code_information":[{"code":"3250355","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":598,"maximum":1636,"gross_charge":1573,"discounted_cash":1180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":598},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"United Healthcare","plan_name":"Commercial","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":598},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":598}]}]},{"description":"Plate Lcp 9h 3.5mmx124mm #223.591","code_information":[{"code":"3258817","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":597,"maximum":1635,"gross_charge":1572,"discounted_cash":1179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":597},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"Commercial","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":597},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"Plate/6-hole #449.936","code_information":[{"code":"3251751","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":597,"maximum":1635,"gross_charge":1572,"discounted_cash":1179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":597},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"Commercial","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":597},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"Plate 3.5mm Lock Tubular 10h 133mm","code_information":[{"code":"3700609","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":597,"maximum":1634,"gross_charge":1571,"discounted_cash":1178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":597},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"Nm Gi Blood Loss","code_information":[{"code":"4060306","type":"CDM"},{"code":"341","type":"RC"},{"code":"78278","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":596,"maximum":1632,"gross_charge":1569,"discounted_cash":1177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596}]}]},{"description":"Balloon Uromax","code_information":[{"code":"3258871","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258871","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":596,"maximum":1631,"gross_charge":1568,"discounted_cash":1176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1051},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596}]}]},{"description":"Drill Bit 3.5","code_information":[{"code":"3700508","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":595,"maximum":1630,"gross_charge":1567,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":595},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"United Healthcare","plan_name":"Commercial","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":595},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595}]}]},{"description":"Drill Bit Cannulated 2.5 Mm","code_information":[{"code":"3700259","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":595,"maximum":1630,"gross_charge":1567,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":595},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"United Healthcare","plan_name":"Commercial","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":595},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595}]}]},{"description":"Forcep/ureterosocpic 3fr  Piranha","code_information":[{"code":"3257113","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":595,"maximum":1629,"gross_charge":1566,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":595},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595}]}]},{"description":"Leuprolide 30 Mg Inj Kit","code_information":[{"code":"4078016","type":"CDM"},{"code":"636","type":"RC"},{"code":"74368","type":"CPT","modifier":"303"}],"standard_charges":[{"setting":"outpatient","modifier_code":["303"],"minimum":594,"maximum":1627,"gross_charge":1564,"discounted_cash":1173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1048},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":594},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"United Healthcare","plan_name":"Commercial","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":594},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Lens/technis","code_information":[{"code":"3251747","type":"CDM"},{"code":"276","type":"RC"},{"code":"CP3251747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":1626,"gross_charge":1563,"discounted_cash":1172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":594},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"United Healthcare","plan_name":"Commercial","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":594},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594}]}]},{"description":"Lens/technis Iol Zmb00","code_information":[{"code":"3251366","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2788","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":1626,"gross_charge":1563,"discounted_cash":1172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":594},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1626},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"United Healthcare","plan_name":"Commercial","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":594},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594}]}]},{"description":"3.5mm Cortical Screw 28mm Long","code_information":[{"code":"3700223","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":592,"maximum":1621,"gross_charge":1559,"discounted_cash":1169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":592},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1094},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"United Healthcare","plan_name":"Commercial","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":592},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":592}]}]},{"description":"Taperpost Mtp 9.5x18 Mm","code_information":[{"code":"32510006","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":591,"maximum":1618,"gross_charge":1556,"discounted_cash":1167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1043},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":591},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"Commercial","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":591},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Post Taper 7.0x13mm Mtp","code_information":[{"code":"3700916","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":591,"maximum":1618,"gross_charge":1556,"discounted_cash":1167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1043},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":591},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"Commercial","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":591},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Screw Headed 3.5 X 42 Mm","code_information":[{"code":"3700258","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":591,"maximum":1618,"gross_charge":1556,"discounted_cash":1167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1043},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":591},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"Commercial","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":591},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Shuntogram","code_information":[{"code":"4040473-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"75809","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":591,"maximum":1618,"gross_charge":1556,"discounted_cash":1167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1043},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":591},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"Commercial","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":591},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Belimumab 120 Mg","code_information":[{"code":"4078521","type":"CDM"},{"code":"636","type":"RC"},{"code":"49401010101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":591,"maximum":2801,"gross_charge":1555,"discounted_cash":1166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":591},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1092},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Blade Inferior Turbinate","code_information":[{"code":"3258678","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":591,"maximum":1616,"gross_charge":1554,"discounted_cash":1166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":591},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Us Abd Limited","code_information":[{"code":"4060061-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76705","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":590,"maximum":1614,"gross_charge":1552,"discounted_cash":1164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"United Healthcare","plan_name":"Commercial","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":590},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590}]}]},{"description":"Cardioversion Elective External","code_information":[{"code":"3240106","type":"CDM"},{"code":"480","type":"RC"},{"code":"92960","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":588,"maximum":1610,"gross_charge":1548,"discounted_cash":1161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":588},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1087},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Cardioversion External","code_information":[{"code":"4080255","type":"CDM"},{"code":"370","type":"RC"},{"code":"92960","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":588,"maximum":1610,"gross_charge":1548,"discounted_cash":1161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":588},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1087},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Screw/trigen 5.0x90 Mm","code_information":[{"code":"3700253","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":588,"maximum":1609,"gross_charge":1547,"discounted_cash":1160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":588},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Supplies/dilation","code_information":[{"code":"3259635","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259635","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":587,"maximum":1606,"gross_charge":1544,"discounted_cash":1158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":587},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587}]}]},{"description":"Cement/ab Versabond Bone #7127-1440","code_information":[{"code":"3258696","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3258696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":584,"maximum":1597,"gross_charge":1536,"discounted_cash":1152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":584},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584}]}]},{"description":"Kit/uromax Ultra Balloon 18fx10cm","code_information":[{"code":"3256051","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":584,"maximum":1597,"gross_charge":1536,"discounted_cash":1152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":584},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584}]}]},{"description":"Drill Fenestration 2.0 Mm","code_information":[{"code":"3700474","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":584,"maximum":1597,"gross_charge":1536,"discounted_cash":1152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":584},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584}]}]},{"description":"Screw Cann 4.0mmx40","code_information":[{"code":"3700180","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":584,"maximum":1597,"gross_charge":1536,"discounted_cash":1152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":584},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584}]}]},{"description":"Val Kruelock Screw T1 3.0 X 12","code_information":[{"code":"3700174","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":582,"maximum":1592,"gross_charge":1531,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":582},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582}]}]},{"description":"Val Kruelock Screw T1 3.0x18","code_information":[{"code":"3700171","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":582,"maximum":1592,"gross_charge":1531,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":582},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582}]}]},{"description":"Infliximab-abda 100 Mg Vial","code_information":[{"code":"4077467","type":"CDM"},{"code":"636","type":"RC"},{"code":"57894003001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":579,"maximum":2801,"gross_charge":1523,"discounted_cash":1142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":579},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1069},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":579}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Stereotactic Breast Biopsy","code_information":[{"code":"4403000-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"19081","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":578,"maximum":1583,"gross_charge":1522,"discounted_cash":1142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1020},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1068},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Commercial","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":578},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578}]}]},{"description":"Mesh/small Prefix Plug #0112750","code_information":[{"code":"3258924","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":1582,"gross_charge":1521,"discounted_cash":1141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Commercial","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":578},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578}]}]},{"description":"Endopath 5mm Curved Scissors 5dcs","code_information":[{"code":"3259796","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259796","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":577,"maximum":1580,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"Commercial","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":577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577}]}]},{"description":"Stapler/proximate Ils Curved 29mm #Cdh29","code_information":[{"code":"3258921","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":577,"maximum":1580,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"Commercial","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":577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577}]}]},{"description":"Stapler/proximate Ils Curved 33mm #Cdh33","code_information":[{"code":"3258919","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258919","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":577,"maximum":1580,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":577},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"Commercial","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":577},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577}]}]},{"description":"Drill Cannulated 3.5mm","code_information":[{"code":"3700422","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":576,"maximum":1576,"gross_charge":1515,"discounted_cash":1136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":576},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1064},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"United Healthcare","plan_name":"Commercial","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":576},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576}]}]},{"description":"Mesh Paritex Optimized 25x20cm","code_information":[{"code":"3700821","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":575,"maximum":1572,"gross_charge":1512,"discounted_cash":1134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1013},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"United Healthcare","plan_name":"Commercial","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":575},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575}]}]},{"description":"Ct Upper Ext Left W And Wo Contrast","code_information":[{"code":"4050216-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73202","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":574,"maximum":1570,"gross_charge":1510,"discounted_cash":1133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":574},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Ct Upper Ext Right  W And Wo Contrast","code_information":[{"code":"4050217-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73202","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":574,"maximum":1570,"gross_charge":1510,"discounted_cash":1133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":574},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Cystography / Male Or Female","code_information":[{"code":"710083","type":"CDM"},{"code":"510","type":"RC"},{"code":"52281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":573,"maximum":1569,"gross_charge":1509,"discounted_cash":1132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1011},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":573},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"United Healthcare","plan_name":"Commercial","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":573},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573}]}]},{"description":"Enteroclysis","code_information":[{"code":"4040110-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74355","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":572,"maximum":1566,"gross_charge":1506,"discounted_cash":1130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":572},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"United Healthcare","plan_name":"Commercial","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":572},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572}]}]},{"description":"Nail/elastic 2.0mm #475.920","code_information":[{"code":"3259511","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":571,"maximum":1563,"gross_charge":1503,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1055},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"Cysto/rmv Fb Smpl W Disp Scope Mcr Tech","code_information":[{"code":"710390","type":"CDM"},{"code":"510","type":"RC"},{"code":"52310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":571,"maximum":1562,"gross_charge":1502,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1054},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"Facial Minimum Of 3 Views","code_information":[{"code":"4040115-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70150","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":571,"maximum":1562,"gross_charge":1502,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1054},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"Screw/ Variable 12mm #02.211.012","code_information":[{"code":"3250415","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":570,"maximum":1560,"gross_charge":1500,"discounted_cash":1125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1005},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":570},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570}]}]},{"description":"Pouch/endo-catch 15mm","code_information":[{"code":"3700805","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":570,"maximum":1560,"gross_charge":1500,"discounted_cash":1125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1005},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":570},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570}]}]},{"description":"Mr Brain Wo Reduced 4 6 Sequence","code_information":[{"code":"4181206-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":569,"maximum":1557,"gross_charge":1497,"discounted_cash":1123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"Commercial","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":569},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569}]}]},{"description":"Recovery Room Charge 121-150","code_information":[{"code":"3220015","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":568,"maximum":1555,"gross_charge":1495,"discounted_cash":1121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":568},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1049},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"Commercial","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":568},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568}]}]},{"description":"Stapler Circular 31mm","code_information":[{"code":"3700641","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":567,"maximum":1552,"gross_charge":1492,"discounted_cash":1119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":567},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567}]}]},{"description":"Nm Renal Flow/function W/ Pharm; Single","code_information":[{"code":"4060315","type":"CDM"},{"code":"341","type":"RC"},{"code":"78708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":1545,"gross_charge":1486,"discounted_cash":1115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"United Healthcare","plan_name":"Commercial","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":565},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565}]}]},{"description":"Screw/bio Intrafix Tapered #254624","code_information":[{"code":"3250356","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":564,"maximum":1544,"gross_charge":1485,"discounted_cash":1114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":995},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":564},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1042},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"United Healthcare","plan_name":"Commercial","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":564},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564}]}]},{"description":"Upper Gi W/ Air","code_information":[{"code":"4040147-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74246","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":564,"maximum":1542,"gross_charge":1483,"discounted_cash":1112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":564},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"United Healthcare","plan_name":"Commercial","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":564},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564}]}]},{"description":"Screw/cannulated 7.3 95 X16 208.895","code_information":[{"code":"3256604","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":561,"maximum":1536,"gross_charge":1477,"discounted_cash":1108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":561},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"Commercial","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":561},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561}]}]},{"description":"Ivp Urography","code_information":[{"code":"4040157-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74400","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":561,"maximum":1536,"gross_charge":1477,"discounted_cash":1108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":561},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"Commercial","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":561},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561}]}]},{"description":"Gastroscopy 3 Hrs","code_information":[{"code":"3280049","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280049","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":561,"maximum":1535,"gross_charge":1476,"discounted_cash":1107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":561},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561}]}]},{"description":"Stent/percuflex 6x28 #175-264","code_information":[{"code":"3258877","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":560,"maximum":1532,"gross_charge":1473,"discounted_cash":1105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":560},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560}]}]},{"description":"Drill Bit Cannul 1.9mm","code_information":[{"code":"3700536","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700536","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":560,"maximum":1532,"gross_charge":1473,"discounted_cash":1105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":560},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1034},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560}]}]},{"description":"Us Chest","code_information":[{"code":"4060065-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76604","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":559,"maximum":1530,"gross_charge":1471,"discounted_cash":1103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1033},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"United Healthcare","plan_name":"Commercial","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":559},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559}]}]},{"description":"Ct Lower Ext Left W And Wo Contrast","code_information":[{"code":"4050212-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73702","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":559,"maximum":1529,"gross_charge":1470,"discounted_cash":1103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1032},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559}]}]},{"description":"Ct Lower Ext Right W And Wo Contrast","code_information":[{"code":"4050213-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"73702","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":559,"maximum":1529,"gross_charge":1470,"discounted_cash":1103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1032},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559}]}]},{"description":"Screw/46mm","code_information":[{"code":"3252122","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":558,"maximum":1528,"gross_charge":1469,"discounted_cash":1102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1031},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Commercial","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":558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558}]}]},{"description":"Screw/50mm","code_information":[{"code":"3252121","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":558,"maximum":1528,"gross_charge":1469,"discounted_cash":1102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1031},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Commercial","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":558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558}]}]},{"description":".Charge Dhmc Tissuelevel V","code_information":[{"code":"4011289-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88307","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":558,"maximum":1528,"gross_charge":1469,"discounted_cash":1102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1031},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Commercial","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":558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558}]}]},{"description":"Drill Bit 3.0mm Cannulated","code_information":[{"code":"3700194","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":558,"maximum":1527,"gross_charge":1468,"discounted_cash":1101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"United Healthcare","plan_name":"Commercial","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":558},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558}]}]},{"description":"Nasal/sinus Endoscopy Srg W Bx Mcare","code_information":[{"code":"710220","type":"CDM"},{"code":"510","type":"RC"},{"code":"31237","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":557,"maximum":1525,"gross_charge":1466,"discounted_cash":1100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":983},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":557},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1029},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"Commercial","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":557},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":557}]}]},{"description":"Ct Orbit Iac Sella W And Wo","code_information":[{"code":"4050047-TC","type":"CDM"},{"code":"351","type":"RC"},{"code":"70482","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":556,"maximum":1523,"gross_charge":1464,"discounted_cash":1098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":556},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556}]}]},{"description":"Chemotherapy Infusion Up To 1 Hour","code_information":[{"code":"3290103","type":"CDM"},{"code":"335","type":"RC"},{"code":"96413","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":1518,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":555},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555}]}]},{"description":"Probe/lithoclast Pneumatic #840-739","code_information":[{"code":"3258870","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258870","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":1518,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":555},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555}]}]},{"description":"Plate 3.5mm Lock Tubular 4h 57mm","code_information":[{"code":"3700404","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":554,"maximum":1515,"gross_charge":1457,"discounted_cash":1093,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":554},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554}]}]},{"description":"Screw/cannulated 7.3 16x35 209.835","code_information":[{"code":"3252013","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":553,"maximum":1514,"gross_charge":1456,"discounted_cash":1092,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":553},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1022},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553}]}]},{"description":".Mecon Suboxone Total  Nms","code_information":[{"code":"4016512","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":552,"maximum":1511,"gross_charge":1453,"discounted_cash":1090,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":552},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"Commercial","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":552},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552}]}]},{"description":"Removal of tonsils and adenoid glands, patient younger than age 12","code_information":[{"code":"3282044","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"42820","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":551,"maximum":1508,"gross_charge":1450,"discounted_cash":1088,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":551},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1018},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"Commercial","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":551},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551}]}]},{"description":"Cancellous Frz Dried Bone Chips","code_information":[{"code":"3250849","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":551,"maximum":1508,"gross_charge":1450,"discounted_cash":1088,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":551},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1018},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"Commercial","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":551},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551}]}]},{"description":"Removal of cataract with insertion of lens","code_information":[{"code":"CP17543256209725138","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"66984","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":550,"maximum":1506,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":550},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"United Healthcare","plan_name":"Commercial","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":550},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"Screw/cannulated 4.5x54mm #214.554","code_information":[{"code":"3256377","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":550,"maximum":1505,"gross_charge":1447,"discounted_cash":1085,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":970},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":550},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1016},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"Screw/cannulated 4.5 50mm #214.450","code_information":[{"code":"3256642","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":550,"maximum":1505,"gross_charge":1447,"discounted_cash":1085,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":970},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":550},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1016},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"Screw/cannulated 4.5x60mm #214.560","code_information":[{"code":"3255244","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":550,"maximum":1505,"gross_charge":1447,"discounted_cash":1085,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":970},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":550},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1016},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"Scapula Left","code_information":[{"code":"4040557-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73010","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":549,"maximum":1502,"gross_charge":1444,"discounted_cash":1083,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549}]}]},{"description":"Scapula Right","code_information":[{"code":"4040558-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73010","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":549,"maximum":1502,"gross_charge":1444,"discounted_cash":1083,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":549},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549}]}]},{"description":"Endoscopy1 Nurse 91-120","code_information":[{"code":"3280203","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":548,"maximum":1500,"gross_charge":1442,"discounted_cash":1082,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1012},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":548}]}]},{"description":"Balloon Uromax","code_information":[{"code":"3258872","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":545,"maximum":1492,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":545},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545}]}]},{"description":"Screw Cann Monster Thrd 4.0x44mm","code_information":[{"code":"3701142","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":545,"maximum":1491,"gross_charge":1434,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":545},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1007},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"Commercial","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":545},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545}]}]},{"description":"Screw Fusion 2.7mm X 16mm","code_information":[{"code":"3700460","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":544,"maximum":1489,"gross_charge":1432,"discounted_cash":1074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544}]}]},{"description":"Screw Locking 2.7mm X 18mm","code_information":[{"code":"3700431","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":544,"maximum":1489,"gross_charge":1432,"discounted_cash":1074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544}]}]},{"description":"Wire Olive Non-threaded Mf","code_information":[{"code":"3700946","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":544,"maximum":1489,"gross_charge":1432,"discounted_cash":1074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544}]}]},{"description":"Wire Olive Threaded Sb","code_information":[{"code":"3701087","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":544,"maximum":1489,"gross_charge":1432,"discounted_cash":1074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544}]}]},{"description":"Device/breast Biopsy #Celero-12","code_information":[{"code":"3250808","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":544,"maximum":1489,"gross_charge":1432,"discounted_cash":1074,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1005},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544}]}]},{"description":"Screw Locking 5mm/30/xl25","code_information":[{"code":"3700736","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":542,"maximum":1483,"gross_charge":1426,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":542},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"Commercial","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":542},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542}]}]},{"description":"Screw Locking 5mm/36/xl25","code_information":[{"code":"3700737","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":542,"maximum":1483,"gross_charge":1426,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":542},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"Commercial","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":542},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542}]}]},{"description":"Screw Locking 5mm/48/xl25","code_information":[{"code":"3700738","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":542,"maximum":1483,"gross_charge":1426,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":542},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"Commercial","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":542},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542}]}]},{"description":"Screw Locking 5mm/78/xl25","code_information":[{"code":"3700739","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":542,"maximum":1483,"gross_charge":1426,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":542},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"Commercial","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":542},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542}]}]},{"description":"MRI scan of lower spinal canal","code_information":[{"code":"4181217-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72148","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":540,"maximum":1479,"gross_charge":1422,"discounted_cash":1067,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":998},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"United Healthcare","plan_name":"Commercial","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":540},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540}]}]},{"description":"Screw/canc 4.0mmx22 #207.722","code_information":[{"code":"3251073","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":540,"maximum":1478,"gross_charge":1421,"discounted_cash":1066,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":998},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"United Healthcare","plan_name":"Commercial","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":540},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540}]}]},{"description":"Screw Cort Tap 4x20mm","code_information":[{"code":"3700887","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":540,"maximum":1478,"gross_charge":1421,"discounted_cash":1066,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":998},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"United Healthcare","plan_name":"Commercial","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":540},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540}]}]},{"description":"Mesh/progrip 15x9cm","code_information":[{"code":"3700563","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":539,"maximum":1475,"gross_charge":1418,"discounted_cash":1064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":950},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":539},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"United Healthcare","plan_name":"Commercial","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":539},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"Ct Percut Drainage","code_information":[{"code":"4050054-TC","type":"CDM"},{"code":"352","type":"RC"},{"code":"75989","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":539,"maximum":1475,"gross_charge":1418,"discounted_cash":1064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":950},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":539},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"United Healthcare","plan_name":"Commercial","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":539},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"Percu Abcess Drainage","code_information":[{"code":"4040153-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"75989","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":539,"maximum":1475,"gross_charge":1418,"discounted_cash":1064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":950},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":539},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"United Healthcare","plan_name":"Commercial","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":539},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"Nail/elastic 1.5mm #475.915","code_information":[{"code":"3251843","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":1473,"gross_charge":1416,"discounted_cash":1062,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538}]}]},{"description":"Rod/carbon #394.83","code_information":[{"code":"3251584","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":1473,"gross_charge":1416,"discounted_cash":1062,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538}]}]},{"description":"Lg Ex-fix Carbon Rod Ref394.48","code_information":[{"code":"3700089","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":1473,"gross_charge":1416,"discounted_cash":1062,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538}]}]},{"description":"Rod 10mm Ref 394.80","code_information":[{"code":"3700097","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":1473,"gross_charge":1416,"discounted_cash":1062,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538}]}]},{"description":"Special Procedure 2 Staff 31-60 Min","code_information":[{"code":"3210306","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210306","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":537,"maximum":1471,"gross_charge":1414,"discounted_cash":1061,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":993},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"United Healthcare","plan_name":"Commercial","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":537},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537}]}]},{"description":"Blade Tri Cut 4mm","code_information":[{"code":"3257555","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257555","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":537,"maximum":1470,"gross_charge":1413,"discounted_cash":1060,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537}]}]},{"description":"Drill Bit/tfna  4.2mm X 330mm","code_information":[{"code":"3251243","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":537,"maximum":1470,"gross_charge":1413,"discounted_cash":1060,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537}]}]},{"description":"Critical Care 1st 30-74 Min","code_information":[{"code":"3230206","type":"CDM"},{"code":"450","type":"RC"},{"code":"99291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":536,"maximum":1467,"gross_charge":1411,"discounted_cash":1058,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":991},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536}]}]},{"description":"Critical Care 1st 30-74 Min Mod 25","code_information":[{"code":"3230226-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99291","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":536,"maximum":1467,"gross_charge":1411,"discounted_cash":1058,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":991},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536}]}]},{"description":"Us Paracentesis W Imaging Guid","code_information":[{"code":"4401656","type":"CDM"},{"code":"402","type":"RC"},{"code":"49083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":534,"maximum":1461,"gross_charge":1405,"discounted_cash":1054,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":534},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534}]}]},{"description":"Screw Cann Long Thrd 44mm","code_information":[{"code":"3700558","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":534,"maximum":1461,"gross_charge":1405,"discounted_cash":1054,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":534},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534}]}]},{"description":"Us Breast Biopsy Ea Addtl Lesion","code_information":[{"code":"4003003-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"19084","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":534,"maximum":1461,"gross_charge":1405,"discounted_cash":1054,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":534},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534}]}]},{"description":"Cath/inj Electrohemostasis Gold Probe 7f","code_information":[{"code":"3258358","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258358","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":533,"maximum":1459,"gross_charge":1403,"discounted_cash":1052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":533},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":985},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"United Healthcare","plan_name":"Commercial","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":533},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533}]}]},{"description":"Cath/inj Electrohemostasis Gold Probe10f","code_information":[{"code":"3258425","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258425","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":533,"maximum":1459,"gross_charge":1403,"discounted_cash":1052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":533},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":985},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"United Healthcare","plan_name":"Commercial","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":533},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533}]}]},{"description":"Rod Carbon Fiber 11x250mm","code_information":[{"code":"3700538","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":533,"maximum":1458,"gross_charge":1402,"discounted_cash":1052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":533},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":984},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"United Healthcare","plan_name":"Commercial","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":533},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533}]}]},{"description":"Screw/cannulated 4.5x52mm #214.552","code_information":[{"code":"3256360","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":531,"maximum":1454,"gross_charge":1398,"discounted_cash":1049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":531},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"Screw/cannulated 4.5x44mm #214.544","code_information":[{"code":"3255246","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":531,"maximum":1454,"gross_charge":1398,"discounted_cash":1049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":531},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"Screw/cannulated 4.5x56mm #214.556","code_information":[{"code":"3255245","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":531,"maximum":1454,"gross_charge":1398,"discounted_cash":1049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":531},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"Screw/cannulated 4.5x64mm #214.564","code_information":[{"code":"3256315","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":531,"maximum":1454,"gross_charge":1398,"discounted_cash":1049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":531},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"Screw/cannulated 4.5x72mm #214.572","code_information":[{"code":"3255972","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":531,"maximum":1454,"gross_charge":1398,"discounted_cash":1049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":531},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"Pin/guide Threaded 3.2mm","code_information":[{"code":"3251980","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":531,"maximum":1454,"gross_charge":1398,"discounted_cash":1049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":531},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"Trigen Disp Extractor #7163-1320","code_information":[{"code":"3250838","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":530,"maximum":1452,"gross_charge":1396,"discounted_cash":1047,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":530},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"United Healthcare","plan_name":"Commercial","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":530},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530}]}]},{"description":"Rod/carbon #394.86","code_information":[{"code":"3251505","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":530,"maximum":1451,"gross_charge":1395,"discounted_cash":1046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":530},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":979},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"United Healthcare","plan_name":"Commercial","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":530},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530}]}]},{"description":"Nail/elastic 2.5it X 440mm #475.925","code_information":[{"code":"3259275","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":530,"maximum":1450,"gross_charge":1394,"discounted_cash":1046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":530},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":979},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530}]}]},{"description":"Drill/pilot 4.0 Short #7163-1123","code_information":[{"code":"3250869","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250869","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":529,"maximum":1449,"gross_charge":1393,"discounted_cash":1045,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":529},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"United Healthcare","plan_name":"Commercial","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":529},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529}]}]},{"description":"Epoetin Alfa-epbx 40,000 Units","code_information":[{"code":"4079998","type":"CDM"},{"code":"636","type":"RC"},{"code":"69130","type":"CPT","modifier":"904"}],"standard_charges":[{"setting":"outpatient","modifier_code":["904"],"minimum":529,"maximum":1449,"gross_charge":1393,"discounted_cash":1045,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":529},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"United Healthcare","plan_name":"Commercial","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":529},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tnf-alpha  Serum Mayo","code_information":[{"code":"4017653","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":528,"maximum":1445,"gross_charge":1389,"discounted_cash":1042,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":528},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"Commercial","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":528},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528}]}]},{"description":"Nail Endcap","code_information":[{"code":"3700740","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":1441,"gross_charge":1386,"discounted_cash":1040,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":929},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":527},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527}]}]},{"description":"Screw/ti Locking Self Tapping 5.0x14mm","code_information":[{"code":"3252046","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":524,"maximum":1434,"gross_charge":1379,"discounted_cash":1034,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":924},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":524},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":968},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Us Thoracentisis","code_information":[{"code":"4401657","type":"CDM"},{"code":"402","type":"RC"},{"code":"32555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":523,"maximum":1432,"gross_charge":1377,"discounted_cash":1033,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":523},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":967},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523}]}]},{"description":"Drill Bit 2.0mmx30mm","code_information":[{"code":"3700243","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":523,"maximum":1430,"gross_charge":1375,"discounted_cash":1031,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":523},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":965},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523}]}]},{"description":"Mr Upper Joint Wo Contrast 3 5 Seq","code_information":[{"code":"4181214-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"73221","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":523,"maximum":1430,"gross_charge":1375,"discounted_cash":1031,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":523},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":965},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523}]}]},{"description":"End Cap T40 5mm #04.004.009s","code_information":[{"code":"3251880","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":522,"maximum":1429,"gross_charge":1374,"discounted_cash":1031,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":522},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Transfusion, Blood Or Blood Comp 2-4 Hrs","code_information":[{"code":"3290122","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":521,"maximum":1425,"gross_charge":1370,"discounted_cash":1028,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":962},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"Countersink Cannulated 4.0mm","code_information":[{"code":"32510026","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":521,"maximum":1425,"gross_charge":1370,"discounted_cash":1028,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":962},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"Nm Tc99m Mag 3","code_information":[{"code":"4060329","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9562","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":519,"maximum":1422,"gross_charge":1367,"discounted_cash":1025,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":519},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519}]}]},{"description":"Stent/percuflex 6x22 #175-261","code_information":[{"code":"3258875","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":517,"maximum":1414,"gross_charge":1360,"discounted_cash":1020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":517},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":955},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517}]}]},{"description":"Stent/percuflex 6x24 #175-262","code_information":[{"code":"3258876","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":517,"maximum":1414,"gross_charge":1360,"discounted_cash":1020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":517},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":955},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517}]}]},{"description":"Drill Bit 2.5mm X 60mm","code_information":[{"code":"3700189","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700189","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":517,"maximum":1414,"gross_charge":1360,"discounted_cash":1020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":517},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":955},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517}]}]},{"description":"Spine Cerv 4 5 Views","code_information":[{"code":"4040167-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72050","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":516,"maximum":1413,"gross_charge":1359,"discounted_cash":1019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":516},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":954},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516}]}]},{"description":"Surgiflo W/thrombin","code_information":[{"code":"3700750","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":515,"maximum":1410,"gross_charge":1356,"discounted_cash":1017,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515}]}]},{"description":"Nm Lymphoscintigraphy","code_information":[{"code":"4060312","type":"CDM"},{"code":"341","type":"RC"},{"code":"78195","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":515,"maximum":1409,"gross_charge":1355,"discounted_cash":1016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":908},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":951},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515}]}]},{"description":"Nm Parathyroid W/ Spect/ct","code_information":[{"code":"4060325","type":"CDM"},{"code":"341","type":"RC"},{"code":"78072","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":515,"maximum":1409,"gross_charge":1355,"discounted_cash":1016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":908},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":951},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515}]}]},{"description":"Nm Renal Flow/function W/o Pharm; Single","code_information":[{"code":"4060314","type":"CDM"},{"code":"341","type":"RC"},{"code":"78707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":515,"maximum":1409,"gross_charge":1355,"discounted_cash":1016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":908},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":951},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515}]}]},{"description":"Kit P.asp816val Var, Quant Mayo","code_information":[{"code":"4018024","type":"CDM"},{"code":"310","type":"RC"},{"code":"81273","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":515,"maximum":1409,"gross_charge":1355,"discounted_cash":1016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":908},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":951},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515}]}]},{"description":"Screw/cannulated 4.5x36mm #214.536","code_information":[{"code":"3256430","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":513,"maximum":1405,"gross_charge":1351,"discounted_cash":1013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":513},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":948},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513}]}]},{"description":"Recovery Room Charge 151-180","code_information":[{"code":"3220016","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":513,"maximum":1405,"gross_charge":1351,"discounted_cash":1013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":513},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":948},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513}]}]},{"description":"Screw/captured 4.5x30 #7164-2130","code_information":[{"code":"3258648","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":1401,"gross_charge":1347,"discounted_cash":1010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":946},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"Commercial","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":512},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512}]}]},{"description":"Screw/captured 4.5x35 #7164-2135","code_information":[{"code":"3258647","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":1401,"gross_charge":1347,"discounted_cash":1010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":946},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"Commercial","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":512},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512}]}]},{"description":"Screw/captured 4.5x40 #7164-2140","code_information":[{"code":"3258649","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":1401,"gross_charge":1347,"discounted_cash":1010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":946},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"Commercial","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":512},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512}]}]},{"description":"Screw/cann Locking 7.3x70mm #02.207.070","code_information":[{"code":"3250923","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":1401,"gross_charge":1347,"discounted_cash":1010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":946},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"Commercial","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":512},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512}]}]},{"description":"Screw/cann Locking 5.0x40mm #02.205.040","code_information":[{"code":"3250173","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":511,"maximum":1398,"gross_charge":1344,"discounted_cash":1008,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":511},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"Commercial","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":511},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Screw/locking 5.0mmx90mm #02.205.090","code_information":[{"code":"3250492","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":511,"maximum":1398,"gross_charge":1344,"discounted_cash":1008,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":511},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"Commercial","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":511},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Gonadotropin Releasing Hormone Mayo","code_information":[{"code":"4016284","type":"CDM"},{"code":"300","type":"RC"},{"code":"83727","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":511,"maximum":1398,"gross_charge":1344,"discounted_cash":1008,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":511},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"Commercial","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":511},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Drill/short 4.0 #7163-1117","code_information":[{"code":"3258299","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258299","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":1395,"gross_charge":1341,"discounted_cash":1006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":510},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"United Healthcare","plan_name":"Commercial","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":510},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510}]}]},{"description":"Fluent Set","code_information":[{"code":"32510021","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":509,"maximum":1394,"gross_charge":1340,"discounted_cash":1005,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":509},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":941},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"United Healthcare","plan_name":"Commercial","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":509},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509}]}]},{"description":"Supplies/peg","code_information":[{"code":"3259636","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259636","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":509,"maximum":1394,"gross_charge":1340,"discounted_cash":1005,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":509},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":941},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"United Healthcare","plan_name":"Commercial","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":509},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509}]}]},{"description":"Zinc Transporter 8 Ab Serum Mayo","code_information":[{"code":"4017925","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":509,"maximum":1393,"gross_charge":1339,"discounted_cash":1004,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":509},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509}]}]},{"description":"Screw/cannulated 4.5","code_information":[{"code":"32517933","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":508,"maximum":1389,"gross_charge":1336,"discounted_cash":1002,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":508},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":938},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508}]}]},{"description":"Mini Bone Screw 22.0mm At-m22","code_information":[{"code":"3700059","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":508,"maximum":1389,"gross_charge":1336,"discounted_cash":1002,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":508},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":938},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508}]}]},{"description":"Plate/8-h 1/3 Tubular #441.381","code_information":[{"code":"3250990","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":507,"maximum":1388,"gross_charge":1335,"discounted_cash":1001,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":507},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":937},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507}]}]},{"description":"Screw/cann Locking 02.240.060","code_information":[{"code":"3250710","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":1385,"gross_charge":1332,"discounted_cash":999,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":935},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506}]}]},{"description":"Screw/cann Locking 02.240.065","code_information":[{"code":"3250711","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":1385,"gross_charge":1332,"discounted_cash":999,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":935},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506}]}]},{"description":"Screw/cann Locking 02.240.070","code_information":[{"code":"3250712","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":1385,"gross_charge":1332,"discounted_cash":999,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":935},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506}]}]},{"description":"Biopsy exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"3281098","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":505,"maximum":1382,"gross_charge":1329,"discounted_cash":997,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":933},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505}]}]},{"description":"System/prolene Hernia #Phse6","code_information":[{"code":"3258337","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":505,"maximum":1381,"gross_charge":1328,"discounted_cash":996,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":932},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505}]}]},{"description":"Ct Facial Wo","code_information":[{"code":"4050037","type":"CDM"},{"code":"351","type":"RC"},{"code":"70486","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":504,"maximum":1379,"gross_charge":1326,"discounted_cash":995,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504}]}]},{"description":"Ct Sinus Maxilofacial  Area Wo Contrast","code_information":[{"code":"4050040","type":"CDM"},{"code":"351","type":"RC"},{"code":"70486","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":504,"maximum":1379,"gross_charge":1326,"discounted_cash":995,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504}]}]},{"description":"Us Thyroid","code_information":[{"code":"4060067-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76536","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":504,"maximum":1379,"gross_charge":1326,"discounted_cash":995,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504}]}]},{"description":"Extractor/stone Nitinol #Nge-017115","code_information":[{"code":"3251712","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251712","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":504,"maximum":1378,"gross_charge":1325,"discounted_cash":994,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":930},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504}]}]},{"description":"Mammo Specimen Film","code_information":[{"code":"4040278-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76098","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":504,"maximum":1378,"gross_charge":1325,"discounted_cash":994,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":930},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504}]}]},{"description":"Us Specimen Film","code_information":[{"code":"4040242-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76098","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":504,"maximum":1378,"gross_charge":1325,"discounted_cash":994,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":504},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":930},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504}]}]},{"description":"Meniscal Repair Rapidloc #228321","code_information":[{"code":"3259842","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":503,"maximum":1377,"gross_charge":1324,"discounted_cash":993,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":503},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Commercial","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":503},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"Meningitis Encephalitis Panel Pcr Mayo","code_information":[{"code":"4017988","type":"CDM"},{"code":"300","type":"RC"},{"code":"87483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":502,"maximum":1373,"gross_charge":1320,"discounted_cash":990,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":502},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":927},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"United Healthcare","plan_name":"Commercial","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":502},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Chemotherapy By Intravenous, Push Tech","code_information":[{"code":"3290109","type":"CDM"},{"code":"335","type":"RC"},{"code":"96409","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Screw 5.0mmx36mm #04.005.526s","code_information":[{"code":"3259602","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Screw 5.0mmx40mm #04.005.530s","code_information":[{"code":"3259601","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Screw 5.0mmx44mm #04.005.534s","code_information":[{"code":"3259822","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Screw/locking 5.0mmx32mm #04.005.522s","code_information":[{"code":"3250409","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Screw/locking 5.0mm X 30mm # 04.005.520s","code_information":[{"code":"3250191","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Screw 5.0mmx68mm #04.005.558s","code_information":[{"code":"3251254","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1370,"gross_charge":1317,"discounted_cash":988,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":925},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":".Antibody Id Dhmc","code_information":[{"code":"4016902","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":500,"maximum":1369,"gross_charge":1316,"discounted_cash":987,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":500},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Small Bowel Series","code_information":[{"code":"4040146-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74250","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":499,"maximum":1367,"gross_charge":1314,"discounted_cash":986,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":499},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":922},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"United Healthcare","plan_name":"Commercial","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":499},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Level V-highly Complex","code_information":[{"code":"3230205","type":"CDM"},{"code":"450","type":"RC"},{"code":"99285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":499,"maximum":1366,"gross_charge":1313,"discounted_cash":985,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":499},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":922},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"United Healthcare","plan_name":"Commercial","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":499},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Level V-highly Complex Mod 25","code_information":[{"code":"3230225-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99285","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":499,"maximum":1366,"gross_charge":1313,"discounted_cash":985,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":499},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":922},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"United Healthcare","plan_name":"Commercial","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":499},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw/captured 4.5x25 #7164-2125","code_information":[{"code":"3258380","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":497,"maximum":1360,"gross_charge":1308,"discounted_cash":981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":918},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Rod Carbon Fiber 11x150mm","code_information":[{"code":"3700537","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":497,"maximum":1359,"gross_charge":1307,"discounted_cash":980,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":876},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":918},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"United Healthcare","plan_name":"Commercial","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":497},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Pin Prov Fixation 2.5mm 25mm","code_information":[{"code":"3700572","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":496,"maximum":1358,"gross_charge":1306,"discounted_cash":980,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":875},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":496},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496}]}]},{"description":"Amifostine 500 Mg Vial","code_information":[{"code":"4076315","type":"CDM"},{"code":"636","type":"RC"},{"code":"62756058140","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":496,"maximum":2801,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":496},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Darbepoetin 60 Mcg / 0.3 Ml","code_information":[{"code":"4078142","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513002304","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":496,"maximum":2801,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":496},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Swan Ganz Catheter","code_information":[{"code":"4080241","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":1355,"gross_charge":1303,"discounted_cash":977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":495},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"United Healthcare","plan_name":"Commercial","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":495},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"Screw/locking 5.0 X 58mm #458.958","code_information":[{"code":"3251216","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":1355,"gross_charge":1303,"discounted_cash":977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":495},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":915},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"United Healthcare","plan_name":"Commercial","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":495},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"Ligasure Blunt Tip","code_information":[{"code":"3701086","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":1354,"gross_charge":1302,"discounted_cash":977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":495},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"United Healthcare","plan_name":"Commercial","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":495},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"Thiopurine Metabolites Wb Mayo","code_information":[{"code":"4016810","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":1354,"gross_charge":1302,"discounted_cash":977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":495},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"United Healthcare","plan_name":"Commercial","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":495},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"Combivent Respimat","code_information":[{"code":"4078488","type":"CDM"},{"code":"250","type":"RC"},{"code":"37896","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":494,"maximum":1353,"gross_charge":1301,"discounted_cash":976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":494},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"United Healthcare","plan_name":"Commercial","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":494},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Plate Lcp 5h 3.5mmx72mm #223.551","code_information":[{"code":"3258816","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":494,"maximum":1351,"gross_charge":1299,"discounted_cash":974,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":494},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":912},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"United Healthcare","plan_name":"Commercial","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":494},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494}]}]},{"description":"Alexi Lap System","code_information":[{"code":"3700151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":1349,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":493},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"Commercial","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":493},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Blade 3.5mm Incisor","code_information":[{"code":"3700515","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":1349,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":493},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"Commercial","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":493},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Oligosaccharide Scr Rand Urine Mayo","code_information":[{"code":"4017658","type":"CDM"},{"code":"300","type":"RC"},{"code":"84377","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":1349,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":493},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"Commercial","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":493},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":".Dhmc Consultation W Prep","code_information":[{"code":"4017149-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88323","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":493,"maximum":1349,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":493},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"Commercial","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":493},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Screw 5.0mmx38mm #04.005.528s","code_information":[{"code":"3250347","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw 5.0mmx42mm #04.005.532s","code_information":[{"code":"3259823","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw/locking Ti 4.0 #04.005.428s","code_information":[{"code":"3250593","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw/locking Ti 4.0 #04.005.434s","code_information":[{"code":"3250700","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw T Locking 5.0x58mm","code_information":[{"code":"3251296","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw/locking 5.0 #04.005.540s","code_information":[{"code":"3259851","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw/locking Ti 4.0 46mm #04.005.436s","code_information":[{"code":"3251876","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw/locking Ti 5.0x80mm","code_information":[{"code":"3251497","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Screw 5.0mmx34mm #04.005.524s","code_information":[{"code":"3250168","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":1347,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":492},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492}]}]},{"description":"Nail/tibial End Cap #04.004.008s","code_information":[{"code":"3251649","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":491,"maximum":1344,"gross_charge":1292,"discounted_cash":969,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":907},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491}]}]},{"description":"Stapler/tl Linear 100mm #Tlc10","code_information":[{"code":"3259612","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259612","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":490,"maximum":1342,"gross_charge":1290,"discounted_cash":968,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490}]}]},{"description":"Phospho-tau(217) Mayo","code_information":[{"code":"4018022","type":"CDM"},{"code":"300","type":"RC"},{"code":"84393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":1340,"gross_charge":1288,"discounted_cash":966,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Commercial","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":489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489}]}]},{"description":"Sleeve/hip Screw #Hn1200","code_information":[{"code":"3255173","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":1338,"gross_charge":1287,"discounted_cash":965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Commercial","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":489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489}]}]},{"description":"Screw/locking 5.0mmx100mm #02.205.100","code_information":[{"code":"3250366","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":1337,"gross_charge":1286,"discounted_cash":965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Commercial","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":489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489}]}]},{"description":"Quick Silver Bipolar Probe 7fr","code_information":[{"code":"3253394","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":1337,"gross_charge":1286,"discounted_cash":965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Commercial","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":489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489}]}]},{"description":"Drill Bit Fluted 3.2x 100mm 03.010.060","code_information":[{"code":"3700015","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":1337,"gross_charge":1286,"discounted_cash":965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":489},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Commercial","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":489},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489}]}]},{"description":"Screw R3con Locking 2.7 X 16mm","code_information":[{"code":"3701127","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":488,"maximum":1335,"gross_charge":1284,"discounted_cash":963,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":488},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"United Healthcare","plan_name":"Commercial","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":488},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488}]}]},{"description":"Screw R3con Locking 2.7 X 12mm","code_information":[{"code":"3701128","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":488,"maximum":1335,"gross_charge":1284,"discounted_cash":963,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":488},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"United Healthcare","plan_name":"Commercial","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":488},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488}]}]},{"description":"Screw R3con Locking 2.7 X 14mm","code_information":[{"code":"3701126","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":488,"maximum":1335,"gross_charge":1284,"discounted_cash":963,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":488},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"United Healthcare","plan_name":"Commercial","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":488},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488}]}]},{"description":"Thiopurine Methyltransferase Rbc Mayo","code_information":[{"code":"4016677","type":"CDM"},{"code":"300","type":"RC"},{"code":"82657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":1333,"gross_charge":1282,"discounted_cash":962,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":487},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487}]}]},{"description":"Inj Myelogram","code_information":[{"code":"4040405","type":"CDM"},{"code":"761","type":"RC"},{"code":"62284","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":486,"maximum":1331,"gross_charge":1280,"discounted_cash":960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":486},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":899},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Commercial","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":486},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"Myelogram Lumbosacral Radio Super/interp","code_information":[{"code":"4040176-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72265","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":486,"maximum":1331,"gross_charge":1280,"discounted_cash":960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":486},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":899},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Commercial","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":486},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"Screw/locking 5.0 #04.005.530","code_information":[{"code":"3251245","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":1328,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":485},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":896},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"Commercial","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":485},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":".Antibody Identification Dhmc","code_information":[{"code":"4020120","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":1328,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":485},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":896},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"Commercial","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":485},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"Unlisted Cytogenetic Study","code_information":[{"code":"4016482","type":"CDM"},{"code":"300","type":"RC"},{"code":"88299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":1328,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":485},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":896},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"Commercial","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":485},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"Sinuses Min 3 Views","code_information":[{"code":"4040185-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70220","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":485,"maximum":1328,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":485},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":896},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"Commercial","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":485},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"Probe/lithoclast 0.8mmx668mm #840-731","code_information":[{"code":"3258867","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258867","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":1326,"gross_charge":1275,"discounted_cash":956,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":855},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":485},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"Risperidone Long Acting 37.5 Mg Inj","code_information":[{"code":"4077551","type":"CDM"},{"code":"636","type":"RC"},{"code":"50458030711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":484,"maximum":2801,"gross_charge":1274,"discounted_cash":956,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484}]}],"drug_information":{"unit":375,"type":"ME"}},{"description":"Plate/3.5mm Lck Tubular 6h 82mm S/n","code_information":[{"code":"3252057","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":481,"maximum":1318,"gross_charge":1267,"discounted_cash":950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481}]}]},{"description":"Onabotulinumtoxina 50 Units (Cosmetic)","code_information":[{"code":"4079038","type":"CDM"},{"code":"636","type":"RC"},{"code":"23391","type":"CPT","modifier":"950"}],"standard_charges":[{"setting":"outpatient","modifier_code":["950"],"minimum":481,"maximum":1318,"gross_charge":1267,"discounted_cash":950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481}]}],"drug_information":{"unit":50,"type":"UN"}},{"description":"Screw/conical Can #02.205.270","code_information":[{"code":"3251301","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":481,"maximum":1316,"gross_charge":1265,"discounted_cash":949,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":888},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Commercial","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":481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481}]}]},{"description":"Skull 4 Or More","code_information":[{"code":"4040188-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70260","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":481,"maximum":1316,"gross_charge":1265,"discounted_cash":949,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":481},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":888},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Commercial","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":481},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481}]}]},{"description":"Screw Bg Locking 2.5 X 12mm","code_information":[{"code":"3701108","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":480,"maximum":1315,"gross_charge":1264,"discounted_cash":948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Commercial","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":480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480}]}]},{"description":"Screw Bg Locking 2.5 X 14mm","code_information":[{"code":"3701109","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":480,"maximum":1315,"gross_charge":1264,"discounted_cash":948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Commercial","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":480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480}]}]},{"description":"Screw Bg Locking 2.5 X 16mm","code_information":[{"code":"3701110","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":480,"maximum":1315,"gross_charge":1264,"discounted_cash":948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Commercial","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":480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480}]}]},{"description":"Mirena Levonorgestrel Iud 5yr","code_information":[{"code":"701162","type":"CDM"},{"code":"636","type":"RC"},{"code":"50419042301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":480,"maximum":2801,"gross_charge":1263,"discounted_cash":947,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Leuprolide 30 Mg Inj","code_information":[{"code":"4077743","type":"CDM"},{"code":"636","type":"RC"},{"code":"74368","type":"CPT","modifier":"303"}],"standard_charges":[{"setting":"outpatient","modifier_code":["303"],"minimum":480,"maximum":1314,"gross_charge":1263,"discounted_cash":947,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":480},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"United Healthcare","plan_name":"Commercial","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":480},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Screw/locking 5.0 X 60mm #458.960","code_information":[{"code":"3250681","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":478,"maximum":1309,"gross_charge":1259,"discounted_cash":944,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":478},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":884},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Kronner Manipujector","code_information":[{"code":"3700368","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700368","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":478,"maximum":1308,"gross_charge":1258,"discounted_cash":944,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":478},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Tray/4fr Picc Single #9194108d","code_information":[{"code":"3250395","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250395","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":478,"maximum":1307,"gross_charge":1257,"discounted_cash":943,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":478},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":882},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"Commercial","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":478},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Screw/locking 5.0 X 68mm #458.968","code_information":[{"code":"3250676","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1306,"gross_charge":1256,"discounted_cash":942,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":882},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Us Breast Needle Loc","code_information":[{"code":"4003010","type":"CDM"},{"code":"402","type":"RC"},{"code":"19285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1305,"gross_charge":1255,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":881},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Insert Kit Suturetak","code_information":[{"code":"3700745","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1305,"gross_charge":1255,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":881},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Forceps/graspit Nitinol #320-401","code_information":[{"code":"3251479","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251479","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1304,"gross_charge":1254,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Commercial","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":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Forceps/graspit Nitinol #320-403","code_information":[{"code":"3251577","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251577","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1304,"gross_charge":1254,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Commercial","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":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Screw Ti Locking 5.0x55mm","code_information":[{"code":"3700103","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1304,"gross_charge":1254,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Commercial","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":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Ti Locking Screw Self Drilling 5mmx55mm","code_information":[{"code":"3700066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":1304,"gross_charge":1254,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Commercial","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":477},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Screw/trigen L-p #7164-5052","code_information":[{"code":"3250894","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":476,"maximum":1302,"gross_charge":1252,"discounted_cash":939,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":476},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":879},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"United Healthcare","plan_name":"Commercial","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":476},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476}]}]},{"description":"Coagulator/ball 5mm #Hbc05","code_information":[{"code":"3258060","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258060","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":475,"maximum":1301,"gross_charge":1251,"discounted_cash":938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":475},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"United Healthcare","plan_name":"Commercial","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":475},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":475}]}]},{"description":"Recovery Room Charge 91-120","code_information":[{"code":"3220014","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220014","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":474,"maximum":1298,"gross_charge":1248,"discounted_cash":936,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":474},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"United Healthcare","plan_name":"Commercial","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":474},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474}]}]},{"description":"Plate/6-hole 2.4mm #449.906","code_information":[{"code":"3259750","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":1296,"gross_charge":1246,"discounted_cash":935,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"United Healthcare","plan_name":"Commercial","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":473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"Screw/cannulated 4.0 #207.734","code_information":[{"code":"3251186","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":1295,"gross_charge":1245,"discounted_cash":934,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":874},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Commercial","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":473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"Risperidone Long Acting 25 Mg Inj","code_information":[{"code":"4077695","type":"CDM"},{"code":"636","type":"RC"},{"code":"50458030611","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":473,"maximum":2801,"gross_charge":1245,"discounted_cash":934,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":874},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Leuprolide 22.5mg (Lupron-urology)","code_information":[{"code":"4077796","type":"CDM"},{"code":"636","type":"RC"},{"code":"74334","type":"CPT","modifier":"603"}],"standard_charges":[{"setting":"outpatient","modifier_code":["603"],"minimum":473,"maximum":1294,"gross_charge":1244,"discounted_cash":933,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":473},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":873},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"United Healthcare","plan_name":"Commercial","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":473},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473}]}],"drug_information":{"unit":225,"type":"ME"}},{"description":"Culture Actinomyces Mayo","code_information":[{"code":"4016171","type":"CDM"},{"code":"300","type":"RC"},{"code":"87075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":472,"maximum":1292,"gross_charge":1242,"discounted_cash":932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":472},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"4.0 Cannulated Screw 48mm Short","code_information":[{"code":"3700082","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":471,"maximum":1289,"gross_charge":1239,"discounted_cash":929,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":471},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":870},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"United Healthcare","plan_name":"Commercial","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":471},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471}]}]},{"description":"Screw Cannulated 7.3x32mm 209.925","code_information":[{"code":"3700215","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 90mm #208.890","code_information":[{"code":"3256535","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x85mm #209.885","code_information":[{"code":"3250654","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x90mm #209.890","code_information":[{"code":"3250631","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 55mm #208-855","code_information":[{"code":"3257596","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 85mm #208.885","code_information":[{"code":"3256536","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x70mm #209.870","code_information":[{"code":"3250666","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x80mm #209.880","code_information":[{"code":"3250669","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x95mm #209.895","code_information":[{"code":"3250653","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cann 7.3  50mmx16mm #208.850","code_information":[{"code":"3700177","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cann 7.3 100mm X 16 Mm 208.900","code_information":[{"code":"3256787","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x100mm #209.900","code_information":[{"code":"3250670","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cann 7.3 105mm X 16 Mm 208.905","code_information":[{"code":"3256786","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 32x110mm","code_information":[{"code":"3250552","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x75mm #209.875","code_information":[{"code":"3250668","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 65mm #208.865","code_information":[{"code":"3256940","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 75mm #208.875","code_information":[{"code":"3256537","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw Cann 7.3 125 X 32 #209.925","code_information":[{"code":"3700216","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cann 7.3 30 X 16 #208.830","code_information":[{"code":"3259840","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cann 7.3 35 X 16 208.835","code_information":[{"code":"3252021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 110mm #208.910","code_information":[{"code":"3256980","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 120mm #208.920","code_information":[{"code":"3256849","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 125mm #208.925","code_information":[{"code":"3256850","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 32mm 115mm","code_information":[{"code":"3252127","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 60mm #208.860","code_information":[{"code":"3256923","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 70mm #208.870","code_information":[{"code":"3256922","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 80mm #208.880","code_information":[{"code":"3256587","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3x101mm #209.905","code_information":[{"code":"3250673","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 45mm #208.845","code_information":[{"code":"3256573","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 40mm #208.840","code_information":[{"code":"3258222","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Screw/cannulated 7.3 115mm #208.915","code_information":[{"code":"3256848","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":1282,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":469},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":866},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Commercial","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":469},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Gastroscopy 2.5 Hrs","code_information":[{"code":"3280048","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":468,"maximum":1281,"gross_charge":1232,"discounted_cash":924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":468},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":865},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468}]}]},{"description":"Stereotactic Ea  Addtl Lesion","code_information":[{"code":"4403001-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"19082","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":467,"maximum":1279,"gross_charge":1230,"discounted_cash":923,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":863},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467}]}]},{"description":"Plug/self Forming Xlrg #30803","code_information":[{"code":"3250523","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":1277,"gross_charge":1228,"discounted_cash":921,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":862},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467}]}]},{"description":"Drill W/stop #47-4301-31","code_information":[{"code":"3251266","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251266","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":1277,"gross_charge":1228,"discounted_cash":921,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":862},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467}]}]},{"description":"Or1 Nurse 1-30","code_information":[{"code":"3210201","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":1276,"gross_charge":1227,"discounted_cash":920,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":466},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"United Healthcare","plan_name":"Commercial","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":466},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":".Charge Mayo B Cell Lymphoma Fish","code_information":[{"code":"4017002","type":"CDM"},{"code":"300","type":"RC"},{"code":"88377","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":1274,"gross_charge":1225,"discounted_cash":919,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":821},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":466},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":860},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Commercial","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":466},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"3281255","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":465,"maximum":1273,"gross_charge":1224,"discounted_cash":918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":465},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"730178","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":465,"maximum":1273,"gross_charge":1224,"discounted_cash":918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":465},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465}]}]},{"description":"Screw/ti Recon 6.5 #04.003.024s","code_information":[{"code":"3251815","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":465,"maximum":1273,"gross_charge":1224,"discounted_cash":918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":465},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465}]}]},{"description":"Screw/ti Recon 6.5x85mm #04.003.027s","code_information":[{"code":"3251553","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":465,"maximum":1273,"gross_charge":1224,"discounted_cash":918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":465},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465}]}]},{"description":"Screw Fusion 2.7mm X 14mm","code_information":[{"code":"3700461","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":1268,"gross_charge":1219,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":463},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Commercial","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":463},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Screw Non-locking Sb 2.7mmx20mm","code_information":[{"code":"3700475","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":1268,"gross_charge":1219,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":463},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Commercial","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":463},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Screw Locking 2.7mm X 20mm","code_information":[{"code":"3700430","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":1268,"gross_charge":1219,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":463},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Commercial","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":463},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Screw Fusion 2.7mm X 12mm","code_information":[{"code":"3700617","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":1268,"gross_charge":1219,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":463},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Commercial","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":463},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Selective Catheter Placement, Arterial","code_information":[{"code":"4080240","type":"CDM"},{"code":"320","type":"RC"},{"code":"36215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":1267,"gross_charge":1218,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":463},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Passer/chia Perc #214101","code_information":[{"code":"3251063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":1266,"gross_charge":1217,"discounted_cash":913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":462},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":854},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"United Healthcare","plan_name":"Commercial","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":462},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462}]}]},{"description":"Screw/locking 32mm #458-932","code_information":[{"code":"3250311","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":1266,"gross_charge":1217,"discounted_cash":913,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":462},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":854},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"United Healthcare","plan_name":"Commercial","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":462},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462}]}]},{"description":"Estrogens Conjugated 25 Mg Vial","code_information":[{"code":"4072208","type":"CDM"},{"code":"636","type":"RC"},{"code":"46074","type":"CPT","modifier":"905"}],"standard_charges":[{"setting":"outpatient","modifier_code":["905"],"minimum":462,"maximum":1265,"gross_charge":1216,"discounted_cash":912,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":462},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":854},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"United Healthcare","plan_name":"Commercial","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":462},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ct Chest Lung Screening","code_information":[{"code":"4050101","type":"CDM"},{"code":"352","type":"RC"},{"code":"71271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":1264,"gross_charge":1215,"discounted_cash":911,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":462},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":853},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"United Healthcare","plan_name":"Commercial","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":462},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462}]}]},{"description":"Lap Ablation Uterine Fibroids Mcr Tech","code_information":[{"code":"710373","type":"CDM"},{"code":"510","type":"RC"},{"code":"58674","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":461,"maximum":1260,"gross_charge":1212,"discounted_cash":909,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":851},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"United Healthcare","plan_name":"Commercial","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":461},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461}]}]},{"description":"Omnispan Applier Gun  #228143","code_information":[{"code":"3250362","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":1258,"gross_charge":1210,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":460},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":849},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"United Healthcare","plan_name":"Commercial","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":460},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460}]}]},{"description":"Bone Fenestration Perforator","code_information":[{"code":"3701116","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":1254,"gross_charge":1206,"discounted_cash":905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":458},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":847},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"Planer Bone 8mm","code_information":[{"code":"3701097","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":1254,"gross_charge":1206,"discounted_cash":905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":458},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":847},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"Drill Bit 2.0 Measuring","code_information":[{"code":"3701117","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":1254,"gross_charge":1206,"discounted_cash":905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":458},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":847},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"Drill Bit/cann 2.75mm","code_information":[{"code":"3701107","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":1254,"gross_charge":1206,"discounted_cash":905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":458},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":847},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"Drill Bit/1.6x110mm","code_information":[{"code":"3701115","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":1254,"gross_charge":1206,"discounted_cash":905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":458},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":847},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"Blade 2.9mm Full Radius","code_information":[{"code":"3700516","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700516","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":456,"maximum":1249,"gross_charge":1201,"discounted_cash":901,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":456},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Cv Scapula Left 2 Views (Mcr Tech)","code_information":[{"code":"1700196-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73010","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":456,"maximum":1249,"gross_charge":1201,"discounted_cash":901,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":456},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Cv Scapula Right 2 Views (Mcr Tech)","code_information":[{"code":"1700357-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73010","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":456,"maximum":1249,"gross_charge":1201,"discounted_cash":901,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":456},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Nm Bone Imaging; Limited","code_information":[{"code":"4060320","type":"CDM"},{"code":"341","type":"RC"},{"code":"78300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":456,"maximum":1247,"gross_charge":1199,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":456},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"United Healthcare","plan_name":"Commercial","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":456},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Blade Disp. Ctrs","code_information":[{"code":"3259754","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259754","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":1246,"gross_charge":1198,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":455},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":841},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"United Healthcare","plan_name":"Commercial","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":455},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Cath Type Esophageal 15-16.5-18 #5837","code_information":[{"code":"3258328","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":1246,"gross_charge":1198,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":455},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":841},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"United Healthcare","plan_name":"Commercial","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":455},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Screw R3con Locking 3.5x16mm","code_information":[{"code":"3701149","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":1246,"gross_charge":1198,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":455},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":841},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"United Healthcare","plan_name":"Commercial","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":455},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Screw R3con Locking 3.5x14mm","code_information":[{"code":"3701148","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":1246,"gross_charge":1198,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":455},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":841},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"United Healthcare","plan_name":"Commercial","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":455},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Blade Curved Straight Edge Periosteal","code_information":[{"code":"3251881","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251881","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":1245,"gross_charge":1197,"discounted_cash":898,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":455},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":840},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Screw/locking 5.0x54mm","code_information":[{"code":"3251487","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1244,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0 #04.005.420s","code_information":[{"code":"3250429","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1244,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0 #04.005.430s","code_information":[{"code":"3250594","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1244,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0x50mm #04.005.440s","code_information":[{"code":"3252068","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1244,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw 5.0 Locking T 25 Stardrive 85mm Na","code_information":[{"code":"3700175","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1244,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":802},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking 5.0 #04.005.560s","code_information":[{"code":"3251443","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0 #04.005.422s","code_information":[{"code":"3250427","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0 #04.005.426s","code_information":[{"code":"3250426","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw 5.0mm X 48m #04.005.538s","code_information":[{"code":"3259603","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw 5.0mmx28mm #04.005.518s","code_information":[{"code":"3250167","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0 X 42 Mm #04.005.432","code_information":[{"code":"3250184","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0x 28mm  #04.005.418s","code_information":[{"code":"3251978","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw 5.0mmx26mm #04.005.516s","code_information":[{"code":"3251973","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking 5.0mmx46mm #04.005.536s","code_information":[{"code":"3250190","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw/locking Ti 4.0 X 26mm #04.005.416","code_information":[{"code":"3251687","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Pin Prov Fixation 2.5mm 14mm","code_information":[{"code":"3700571","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Screw Locking Ti 5.0 X 78mm","code_information":[{"code":"3700379","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":1243,"gross_charge":1195,"discounted_cash":896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":454},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":839},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Commercial","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":454},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Instinct Endoscopic Hemoclip","code_information":[{"code":"3258960","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":453,"maximum":1241,"gross_charge":1193,"discounted_cash":895,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453}]}]},{"description":"Ti End Cap Sterile","code_information":[{"code":"3251892","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":453,"maximum":1240,"gross_charge":1192,"discounted_cash":894,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":799},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453}]}]},{"description":".Tiss-lymphoma Eval.","code_information":[{"code":"4010390-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88182","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":453,"maximum":1239,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":453},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":836},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"United Healthcare","plan_name":"Commercial","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":453},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453}]}]},{"description":"Screw/locking 5.0","code_information":[{"code":"3251989","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1234,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":451},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"United Healthcare","plan_name":"Commercial","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":451},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Screw/locking Ti 4.0 48mm #04.005.438s","code_information":[{"code":"3251471","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1234,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":451},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"United Healthcare","plan_name":"Commercial","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":451},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Screw/locking Ti 4.0 58mm #04.005.448s","code_information":[{"code":"3251878","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1234,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":451},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"United Healthcare","plan_name":"Commercial","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":451},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Screw/locking Ti 4.0x64mm #04.005.454s","code_information":[{"code":"3251818","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1234,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":451},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"United Healthcare","plan_name":"Commercial","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":451},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Screw/locking Ti 5.0 X 76","code_information":[{"code":"3251991","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1234,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":451},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"United Healthcare","plan_name":"Commercial","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":451},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Kit Arrow Pacing W Cath","code_information":[{"code":"3700245","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1779","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":450,"maximum":1230,"gross_charge":1183,"discounted_cash":887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":450},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450}]}]},{"description":"Screw/conical 5.0x85mm #02.205.285","code_information":[{"code":"3259902","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":449,"maximum":1228,"gross_charge":1181,"discounted_cash":886,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":449},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":829},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"United Healthcare","plan_name":"Commercial","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":449},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449}]}]},{"description":"Tetanus Immune Globulin 250 Units","code_information":[{"code":"4073095","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533063402","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":448,"maximum":2801,"gross_charge":1179,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448}]}],"drug_information":{"unit":250,"type":"UN"}},{"description":"Cholescystography","code_information":[{"code":"4040151-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74290","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":448,"maximum":1225,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"United Healthcare","plan_name":"Commercial","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":448},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448}]}]},{"description":"Inj Hip Arthrography Wo Anesthesia","code_information":[{"code":"4040413","type":"CDM"},{"code":"761","type":"RC"},{"code":"27093","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":447,"maximum":1224,"gross_charge":1177,"discounted_cash":883,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":447},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447}]}]},{"description":"Inj Bladder","code_information":[{"code":"4040416","type":"CDM"},{"code":"761","type":"RC"},{"code":"51600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":447,"maximum":1223,"gross_charge":1176,"discounted_cash":882,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":447},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":826},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447}]}]},{"description":"Ferumoxytol 510 Mg / 17 Ml Vial","code_information":[{"code":"4070155","type":"CDM"},{"code":"636","type":"RC"},{"code":"59338077501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":447,"maximum":2801,"gross_charge":1175,"discounted_cash":881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":447},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":825},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447}]}],"drug_information":{"unit":510,"type":"ME"}},{"description":"Transfusion, Blood Or Blood Comp 1-2 Hrs","code_information":[{"code":"3240107","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":445,"maximum":1219,"gross_charge":1172,"discounted_cash":879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":445},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445}]}]},{"description":"16mm Cannulated Screws Long Head","code_information":[{"code":"3700018","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":445,"maximum":1219,"gross_charge":1172,"discounted_cash":879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":445},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445}]}]},{"description":"Prostaglandin D2 Urine","code_information":[{"code":"4017824","type":"CDM"},{"code":"300","type":"RC"},{"code":"84150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":444,"maximum":1215,"gross_charge":1168,"discounted_cash":876,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":820},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444}]}]},{"description":"Estrogens Conjugated Vaginal Cream","code_information":[{"code":"4073546","type":"CDM"},{"code":"259","type":"RC"},{"code":"46087","type":"CPT","modifier":"221"}],"standard_charges":[{"setting":"outpatient","modifier_code":["221"],"minimum":444,"maximum":1215,"gross_charge":1168,"discounted_cash":876,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":820},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Us Spinal Canal","code_information":[{"code":"4060071-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76800","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":444,"maximum":1215,"gross_charge":1168,"discounted_cash":876,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":820},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444}]}]},{"description":"Screw Cannulated 2.5mm X 28","code_information":[{"code":"3700513","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1214,"gross_charge":1167,"discounted_cash":875,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":819},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Screw Cannulated 3.5mm X 20","code_information":[{"code":"3700509","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1214,"gross_charge":1167,"discounted_cash":875,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":819},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Nm Gastric Emptying Study","code_information":[{"code":"4060307","type":"CDM"},{"code":"341","type":"RC"},{"code":"78264","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1213,"gross_charge":1166,"discounted_cash":875,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Tc-99m Mercaptoacetyltriglycine","code_information":[{"code":"4070122","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1213,"gross_charge":1166,"discounted_cash":875,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"CP17543256209722533","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1212,"gross_charge":1165,"discounted_cash":874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":818},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Screw/locking 5.0x65mm #02205065","code_information":[{"code":"3259015","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1212,"gross_charge":1165,"discounted_cash":874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":818},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Screw/cann Locking 5.0x70mm #02.205.070","code_information":[{"code":"3250171","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1212,"gross_charge":1165,"discounted_cash":874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":818},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Screw/cannulated Locking 5.0 #02.205.060","code_information":[{"code":"3259373","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1212,"gross_charge":1165,"discounted_cash":874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":818},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Locking Screw 5.0x30mm 02.205.030","code_information":[{"code":"3700028","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1212,"gross_charge":1165,"discounted_cash":874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":443},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":818},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Screw Cannulated 2.0mmx16mm","code_information":[{"code":"3700495","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":442,"maximum":1208,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":779},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":442},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":816},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442}]}]},{"description":"Screw Hd 2.5mm X 35mm","code_information":[{"code":"3700533","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":442,"maximum":1208,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":779},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":442},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":816},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442}]}]},{"description":"Screw Cannulated Hd 4mm X 26mm","code_information":[{"code":"3700844","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":442,"maximum":1208,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":779},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":442},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":816},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442}]}]},{"description":"Screw Cannulated Hd 4mm X 34mm","code_information":[{"code":"3700827","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":442,"maximum":1208,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":779},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":442},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":816},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442}]}]},{"description":"Screw Evos Dbl Washer 3.5mm","code_information":[{"code":"3700901","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":441,"maximum":1206,"gross_charge":1160,"discounted_cash":870,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":778},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":441},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":814},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441}]}]},{"description":"Mitomycin 20 Mg Vial","code_information":[{"code":"4073315","type":"CDM"},{"code":"636","type":"RC"},{"code":"16729010811","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":440,"maximum":2801,"gross_charge":1159,"discounted_cash":869,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":814},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Bit Drill 1.8  (Clavicle Set)","code_information":[{"code":"3251643","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1204,"gross_charge":1158,"discounted_cash":869,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":776},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":813},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Commercial","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":440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Drill/micro-acutrak 2 Long","code_information":[{"code":"3251994","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251994","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1204,"gross_charge":1158,"discounted_cash":869,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":776},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":813},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Commercial","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":440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Drill Bit #At2-l2515","code_information":[{"code":"3251477","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1204,"gross_charge":1158,"discounted_cash":869,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":776},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":813},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Commercial","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":440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Spine Thoracic W Swim","code_information":[{"code":"4040163-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72072","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":440,"maximum":1204,"gross_charge":1158,"discounted_cash":869,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":776},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":813},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Commercial","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":440},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Screw/conical  Cann 7.3x75 #02.207.275","code_information":[{"code":"3259688","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":439,"maximum":1200,"gross_charge":1154,"discounted_cash":866,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":774},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":439},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":810},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439}]}]},{"description":"Cardiac Monitor 16-30 Days Recording","code_information":[{"code":"4030341","type":"CDM"},{"code":"730","type":"RC"},{"code":"93270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":438,"maximum":1199,"gross_charge":1153,"discounted_cash":865,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":773},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":438},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":809},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438}]}]},{"description":"Screw/cannulated 4.5x38mm #214.538","code_information":[{"code":"3256379","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":436,"maximum":1193,"gross_charge":1147,"discounted_cash":860,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":805},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"Screw/cannulated 4.5x42mm #214.542","code_information":[{"code":"3256316","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":436,"maximum":1193,"gross_charge":1147,"discounted_cash":860,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":805},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":".Mecon Opi Confirm Nms","code_information":[{"code":"4016534","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":435,"maximum":1192,"gross_charge":1146,"discounted_cash":860,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":435},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":804},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"United Healthcare","plan_name":"Commercial","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":435},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435}]}]},{"description":"Neuromyelitis Optica Nmo Mayo","code_information":[{"code":"4016906","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":435,"maximum":1190,"gross_charge":1144,"discounted_cash":858,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":435},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435}]}]},{"description":".Ca 125 Mayo Roma Charge","code_information":[{"code":"4016954","type":"CDM"},{"code":"300","type":"RC"},{"code":"86304","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1189,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":766},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":434},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":802},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"Commercial","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":434},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":".He4 Mayo Roma Charge","code_information":[{"code":"4016955","type":"CDM"},{"code":"300","type":"RC"},{"code":"86305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1189,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":766},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":434},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":802},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"Commercial","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":434},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":"Jak2 Mutation V617f Bone Marrow Mayo","code_information":[{"code":"4016201","type":"CDM"},{"code":"300","type":"RC"},{"code":"81270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1189,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":766},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":434},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":802},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"Commercial","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":434},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":"Dissolve Clot, Heart Vessel","code_information":[{"code":"3269674","type":"CDM"},{"code":"480","type":"RC"},{"code":"92977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1187,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":434},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":"Alexis Ortho","code_information":[{"code":"3251697","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251697","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1187,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":434},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":"Blade Saw Lapiplasty 40x11mm","code_information":[{"code":"3700967","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1187,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":434},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":"Remove Intravascular Vena Cava Filtr Fac","code_information":[{"code":"4040469","type":"CDM"},{"code":"761","type":"RC"},{"code":"37193","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1186,"gross_charge":1140,"discounted_cash":855,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":433},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"Screw/cannulated 75mm","code_information":[{"code":"3251894","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1185,"gross_charge":1139,"discounted_cash":854,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":433},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":800},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"Set/drainage 10.2fr  #G10050","code_information":[{"code":"3250471","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250471","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1185,"gross_charge":1139,"discounted_cash":854,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":433},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":800},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"Set/drainage 8.5fr  #G10049","code_information":[{"code":"3250474","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1185,"gross_charge":1139,"discounted_cash":854,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":433},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":800},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"..Aml Fish Mayo","code_information":[{"code":"4016066","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":432,"maximum":1184,"gross_charge":1138,"discounted_cash":854,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":432},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"United Healthcare","plan_name":"Commercial","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":432},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432}]}]},{"description":".Dhmc Immunohistochem Each Ab","code_information":[{"code":"4017150-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":432,"maximum":1181,"gross_charge":1136,"discounted_cash":852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":432},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":797},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"United Healthcare","plan_name":"Commercial","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":432},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432}]}]},{"description":"Catheter Power Picc Solo 2","code_information":[{"code":"3700714","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1751","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1180,"gross_charge":1135,"discounted_cash":851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"Commercial","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":431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431}]}]},{"description":"..Methylenetetrahydrofolate Red Mut May","code_information":[{"code":"4016190","type":"CDM"},{"code":"300","type":"RC"},{"code":"81291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1180,"gross_charge":1135,"discounted_cash":851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"Commercial","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":431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431}]}]},{"description":"Spacer Articul Tapered #136310000","code_information":[{"code":"3251383","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1179,"gross_charge":1134,"discounted_cash":851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":760},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":796},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"Commercial","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":431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431}]}]},{"description":"Spacer Articul Tapered #1363-12-000","code_information":[{"code":"3251404","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1179,"gross_charge":1134,"discounted_cash":851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":760},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":431},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":796},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"Commercial","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":431},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431}]}]},{"description":"Screw/cannulated 4.5x46mm #214.546","code_information":[{"code":"3256961","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1176,"gross_charge":1131,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":430},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"Commercial","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":430},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430}]}]},{"description":"Screw/cannulated 4.5x40mm #214.540","code_information":[{"code":"3256378","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1176,"gross_charge":1131,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":430},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"Commercial","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":430},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430}]}]},{"description":"Screw/cannulated 4.5x26mm #214.526","code_information":[{"code":"3257410","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1176,"gross_charge":1131,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":430},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"Commercial","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":430},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430}]}]},{"description":"Screw/cannulated 4.5x48mm #214.548","code_information":[{"code":"3256447","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1176,"gross_charge":1131,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":430},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"Commercial","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":430},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430}]}]},{"description":"Pelvis 3 Views","code_information":[{"code":"4040144-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72190","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":430,"maximum":1176,"gross_charge":1131,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":430},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"Commercial","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":430},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430}]}]},{"description":"Nm Meckel's Diverticulum","code_information":[{"code":"4060308","type":"CDM"},{"code":"341","type":"RC"},{"code":"78290","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":429,"maximum":1175,"gross_charge":1130,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":793},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"United Healthcare","plan_name":"Commercial","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":429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429}]}]},{"description":"Pin/orthosorb Absorbable #84-1070","code_information":[{"code":"3254733","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3254733","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":429,"maximum":1173,"gross_charge":1128,"discounted_cash":846,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":429},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"United Healthcare","plan_name":"Commercial","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":429},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429}]}]},{"description":"Screw/cannulated 4.0 #207.744","code_information":[{"code":"3251502","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Screw/cannulated 4.0 #207.736","code_information":[{"code":"3251187","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Screw/cannulated 4.0  #207.738","code_information":[{"code":"3251188","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Screw/canc 4.0mmx26 #207.726","code_information":[{"code":"3251072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Screw/cannulated #207.650","code_information":[{"code":"3251456","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Drill Bit Can Ao 2.6x130mm","code_information":[{"code":"3701143","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Drill Bit Solid Msrg Lg Ao 2.4x140mm","code_information":[{"code":"3701147","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1171,"gross_charge":1126,"discounted_cash":845,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":755},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"4.0 Cannulated Screw 60mm Short Thread","code_information":[{"code":"3700136","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1170,"gross_charge":1125,"discounted_cash":844,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":790},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"Commercial","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":428},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"Guide Pin 3x2x343 Ref 7163-1436","code_information":[{"code":"3700092","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":427,"maximum":1169,"gross_charge":1124,"discounted_cash":843,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":427},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":789},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"Mr Brain Wo 3 6 Sequence","code_information":[{"code":"4181212-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":427,"maximum":1168,"gross_charge":1123,"discounted_cash":842,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":427},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"United Healthcare","plan_name":"Commercial","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":427},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"K-wire #202.623","code_information":[{"code":"3251769","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251769","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":426,"maximum":1167,"gross_charge":1122,"discounted_cash":842,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":426},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":788},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"United Healthcare","plan_name":"Commercial","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":426},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426}]}]},{"description":"Countersink 6.0mm Cannulated","code_information":[{"code":"3700196","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":426,"maximum":1166,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":426},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":787},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"United Healthcare","plan_name":"Commercial","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":426},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426}]}]},{"description":"Bone Survey Infant","code_information":[{"code":"4040221","type":"CDM"},{"code":"320","type":"RC"},{"code":"77076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":425,"maximum":1164,"gross_charge":1119,"discounted_cash":839,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":786},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"Commercial","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":425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"Fragile X Syndrome Molecular Mayo","code_information":[{"code":"4011662-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"81243","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":425,"maximum":1164,"gross_charge":1119,"discounted_cash":839,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":786},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"Commercial","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":425},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"Introducer/supra Foley 16 Fr","code_information":[{"code":"3258910","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1894","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":424,"maximum":1161,"gross_charge":1116,"discounted_cash":837,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":424},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":783},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424}]}]},{"description":"Adalimumab Mayo","code_information":[{"code":"4017196","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":423,"maximum":1158,"gross_charge":1113,"discounted_cash":835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":423},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":781},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"United Healthcare","plan_name":"Commercial","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":423},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423}]}]},{"description":"Bit Drill 3.3mm 2312-01-300","code_information":[{"code":"3251912","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":423,"maximum":1156,"gross_charge":1112,"discounted_cash":834,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":423},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":781},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423}]}]},{"description":"Screw/cannulated 4.0 46mm #207.746","code_information":[{"code":"3251252","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0 #207.740","code_information":[{"code":"3251184","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0 42mm #207.742","code_information":[{"code":"3251494","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0 #207.628","code_information":[{"code":"3251183","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0x30mm #207.630","code_information":[{"code":"3251064","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cann Locking 7.3x85mm #02.205.085","code_information":[{"code":"3259679","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated #207.638","code_information":[{"code":"3251614","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0x16mm Short","code_information":[{"code":"3251538","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0x26mm #207.626","code_information":[{"code":"3251066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0x42mm Short","code_information":[{"code":"3251546","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/cannulated 4.0x46mm Short","code_information":[{"code":"3251527","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Screw/locking 5.0x50mm #222.540","code_information":[{"code":"3259013","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1153,"gross_charge":1109,"discounted_cash":832,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":421},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":779},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Commercial","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":421},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Level Iv-complex Ext","code_information":[{"code":"3230204","type":"CDM"},{"code":"450","type":"RC"},{"code":"99284","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":420,"maximum":1150,"gross_charge":1106,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":420},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":776},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"Commercial","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":420},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420}]}]},{"description":"Level Iv-complex Ext Mod 25","code_information":[{"code":"3230224-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99284","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":420,"maximum":1150,"gross_charge":1106,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":420},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":776},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"Commercial","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":420},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420}]}]},{"description":"Removal of one or more breast growth, open procedure","code_information":[{"code":"3281076","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"19120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":420,"maximum":1148,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":420},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420}]}]},{"description":"Removal of one or more breast growth, open procedure","code_information":[{"code":"730294","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"19120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":420,"maximum":1148,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":420},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420}]}]},{"description":"Hiv 1 Pcr Quant Csf Mayo","code_information":[{"code":"4016474","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":420,"maximum":1148,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":420},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420}]}]},{"description":"Schanz Screw Self 5.0 Mm X 200 Mm X 80mm","code_information":[{"code":"3700088","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":418,"maximum":1145,"gross_charge":1101,"discounted_cash":826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":418},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":773},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"United Healthcare","plan_name":"Commercial","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":418},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418}]}]},{"description":"Schanz Screw Self 5.0 Mm X 150 Mm X 60mm","code_information":[{"code":"3700087","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":418,"maximum":1145,"gross_charge":1101,"discounted_cash":826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":418},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":773},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"United Healthcare","plan_name":"Commercial","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":418},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418}]}]},{"description":".Charge Infliximab Ab","code_information":[{"code":"4018038","type":"CDM"},{"code":"300","type":"RC"},{"code":"80230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":417,"maximum":1142,"gross_charge":1098,"discounted_cash":824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":417},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"Commercial","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":417},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417}]}]},{"description":"Screw/locking Va 3.5 65mm 02.127.165","code_information":[{"code":"3251204","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1140,"gross_charge":1096,"discounted_cash":822,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Screw/locking Va 3.5 80mm 02.127.180","code_information":[{"code":"3251215","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1140,"gross_charge":1096,"discounted_cash":822,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Screw/locking Va 3.5 85mm 02.127.185","code_information":[{"code":"3251214","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1140,"gross_charge":1096,"discounted_cash":822,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Screw/locking Va 3.5 90mm 02.127.190","code_information":[{"code":"3251209","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1140,"gross_charge":1096,"discounted_cash":822,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Screw/cannulated 7.3 45mm","code_information":[{"code":"3251936","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1139,"gross_charge":1095,"discounted_cash":821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Screw/cannulated 7.3 50 Long Threaded","code_information":[{"code":"3251937","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1139,"gross_charge":1095,"discounted_cash":821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Microsporidia Sp Mole Detect Pcr Mayo","code_information":[{"code":"4016230","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":416,"maximum":1139,"gross_charge":1095,"discounted_cash":821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":416},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":769},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416}]}]},{"description":"Mr Spine Thor Wo Seq 2 5","code_information":[{"code":"4181220-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72146","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":415,"maximum":1136,"gross_charge":1092,"discounted_cash":819,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":415},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"United Healthcare","plan_name":"Commercial","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":415},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415}]}]},{"description":"Us Infant Hips Lmtd Static","code_information":[{"code":"4060223","type":"CDM"},{"code":"402","type":"RC"},{"code":"76886","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1135,"gross_charge":1091,"discounted_cash":818,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":415},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"United Healthcare","plan_name":"Commercial","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":415},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415}]}]},{"description":"Repos Intravascular Vena Cava Filter Fac","code_information":[{"code":"4040468","type":"CDM"},{"code":"761","type":"RC"},{"code":"37192","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1135,"gross_charge":1091,"discounted_cash":818,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":415},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":766},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"United Healthcare","plan_name":"Commercial","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":415},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415}]}]},{"description":"Barium Enema Dbl Con","code_information":[{"code":"4040150-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74280","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":414,"maximum":1134,"gross_charge":1090,"discounted_cash":818,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":414},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"United Healthcare","plan_name":"Commercial","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":414},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414}]}]},{"description":"Screw 4.5 Fully Threaded Cannulated","code_information":[{"code":"3700210","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":414,"maximum":1133,"gross_charge":1089,"discounted_cash":817,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":414},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":764},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"Commercial","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":414},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414}]}]},{"description":"Device/er Crico Quick Trac Adult 4.0mm","code_information":[{"code":"3257839","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":414,"maximum":1133,"gross_charge":1089,"discounted_cash":817,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":414},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":764},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"Commercial","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":414},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414}]}]},{"description":"Chest Lateral Decub","code_information":[{"code":"4040103-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71047","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":413,"maximum":1132,"gross_charge":1088,"discounted_cash":816,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":729},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":413},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413}]}]},{"description":"Chest With Lordotic","code_information":[{"code":"4040105-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71047","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":413,"maximum":1132,"gross_charge":1088,"discounted_cash":816,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":729},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":413},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413}]}]},{"description":"Plate/lcp 1/3 Tubular 8hx93mm #241.381","code_information":[{"code":"3258788","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1128,"gross_charge":1085,"discounted_cash":814,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":762},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Calprotectin Feces Mayo","code_information":[{"code":"4016681","type":"CDM"},{"code":"300","type":"RC"},{"code":"83993","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1128,"gross_charge":1085,"discounted_cash":814,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":762},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Lens/anterior Chamber #Mta4u","code_information":[{"code":"3256709","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2630","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1128,"gross_charge":1085,"discounted_cash":814,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":762},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Lp 3.0x16mm Cortical Mtp Ti","code_information":[{"code":"3700327","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1127,"gross_charge":1084,"discounted_cash":813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Lp Screw 3.0x18mm Cortical Mtp Ti","code_information":[{"code":"3700238","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1127,"gross_charge":1084,"discounted_cash":813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Lp 3.0x14mm Cortical Mtp Ti","code_information":[{"code":"3700342","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1127,"gross_charge":1084,"discounted_cash":813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Lp 3.0x 20mm Cortical Mtp Ti","code_information":[{"code":"3700924","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1127,"gross_charge":1084,"discounted_cash":813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":727},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Commercial","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":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Endoscopy1 Nurse 61-90","code_information":[{"code":"3280202","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1126,"gross_charge":1083,"discounted_cash":812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":760},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Guide Wire #360.266","code_information":[{"code":"3250713","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":412,"maximum":1126,"gross_charge":1083,"discounted_cash":812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":412},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":760},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw/15mm #103530","code_information":[{"code":"3250267","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":411,"maximum":1125,"gross_charge":1082,"discounted_cash":812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":725},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":411},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":760},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"United Healthcare","plan_name":"Commercial","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":411},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411}]}]},{"description":"Neg Press Wnd Tx > 50 Sq Cm","code_information":[{"code":"3290479","type":"CDM"},{"code":"761","type":"RC"},{"code":"97608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":410,"maximum":1122,"gross_charge":1079,"discounted_cash":809,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":410},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":757},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"Commercial","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":410},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410}]}]},{"description":"Spine Thoracic 2 View","code_information":[{"code":"4040168-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72070","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":409,"maximum":1120,"gross_charge":1077,"discounted_cash":808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":409},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":756},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"Spine Cervical Trauma Xray  2 Or 3 View","code_information":[{"code":"4040166-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72040","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":409,"maximum":1120,"gross_charge":1077,"discounted_cash":808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":409},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":756},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"Guide Wire/2.4 Drill Tip S/n #014396","code_information":[{"code":"3255462","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255462","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":409,"maximum":1118,"gross_charge":1075,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":721},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":409},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"United Healthcare","plan_name":"Commercial","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":409},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"Diagnostic exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"3281097","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":408,"maximum":1117,"gross_charge":1074,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":408},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":754},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"United Healthcare","plan_name":"Commercial","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":408},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408}]}]},{"description":"Mitoxantrone 20 Mg / 10 Ml Vial","code_information":[{"code":"4077050","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323013210","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":408,"maximum":2801,"gross_charge":1074,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":408},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":754},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Set Lap Cholangio","code_information":[{"code":"3700843","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700843","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":408,"maximum":1116,"gross_charge":1073,"discounted_cash":805,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":408},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":753},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"United Healthcare","plan_name":"Commercial","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":408},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408}]}]},{"description":"Zero Tip Nitinol Retrieval Basket 1.9x12","code_information":[{"code":"3700074","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":407,"maximum":1114,"gross_charge":1071,"discounted_cash":803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":407},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":752},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Commercial","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":407},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Screw/locking 5.0 #458.938","code_information":[{"code":"3259721","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":407,"maximum":1113,"gross_charge":1070,"discounted_cash":803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":407},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":751},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Commercial","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":407},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Screw/locking 5.0 #458.936","code_information":[{"code":"3259724","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":407,"maximum":1113,"gross_charge":1070,"discounted_cash":803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":407},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":751},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Commercial","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":407},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Screw/locking 5.0 #458.950","code_information":[{"code":"3250288","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":407,"maximum":1113,"gross_charge":1070,"discounted_cash":803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":407},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":751},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Commercial","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":407},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Thoracolumbar 2 Views","code_information":[{"code":"4040172-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72080","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":406,"maximum":1111,"gross_charge":1068,"discounted_cash":801,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":406},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"United Healthcare","plan_name":"Commercial","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":406},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406}]}]},{"description":"Spine Lumbo Ap Lat","code_information":[{"code":"4040169-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":405,"maximum":1109,"gross_charge":1066,"discounted_cash":800,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":405},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Inj Anes Agnt Brachial Plexus Continuous","code_information":[{"code":"4080301","type":"CDM"},{"code":"360","type":"RC"},{"code":"64416","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1108,"gross_charge":1065,"discounted_cash":799,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":405},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":748},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Kit/cricothyrotomy Pedi 5.0mm 10years+","code_information":[{"code":"3253592","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1107,"gross_charge":1064,"discounted_cash":798,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"United Healthcare","plan_name":"Commercial","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":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Clip Applier Ca500","code_information":[{"code":"3250759","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Blade Saw 9x31x.051mm","code_information":[{"code":"3700531","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700531","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Screw Non-locking Sb 2.7mm X 18mm","code_information":[{"code":"3700462","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Screw Non-locking Sb 2.7mm X 26mm","code_information":[{"code":"3700429","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Screw Peri-loc 3.5mm T20 Lock 50mm","code_information":[{"code":"3700402","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Nexplanon Implant","code_information":[{"code":"701205","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7307","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw Non-lock Sb 2.7mmx14mm","code_information":[{"code":"3700831","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Screw Non-lock Sb 2.7mmx16mm","code_information":[{"code":"3700830","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1106,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Filgrastim-sndz 480 Mcg Syringe","code_information":[{"code":"4070028","type":"CDM"},{"code":"636","type":"RC"},{"code":"61314032601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":404,"maximum":2801,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404}]}],"drug_information":{"unit":48,"type":"ME"}},{"description":".Blood Unit-leukreduced","code_information":[{"code":"4020158","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9016","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":403,"maximum":1103,"gross_charge":1061,"discounted_cash":796,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Us Breast Lt Limited Including Axilla","code_information":[{"code":"4060030-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76642","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":403,"maximum":1103,"gross_charge":1061,"discounted_cash":796,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Us Breast Rt Including Axila Limited","code_information":[{"code":"4006026-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76642","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":403,"maximum":1103,"gross_charge":1061,"discounted_cash":796,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Tibia And Fibula Left","code_information":[{"code":"4040563-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":402,"maximum":1101,"gross_charge":1059,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":710},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":402},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"United Healthcare","plan_name":"Commercial","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":402},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402}]}]},{"description":"Tibia And Fibula Right","code_information":[{"code":"4040564-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":402,"maximum":1101,"gross_charge":1059,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":710},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":402},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"United Healthcare","plan_name":"Commercial","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":402},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402}]}]},{"description":"Pouch/endo-catch 10mm","code_information":[{"code":"3700963","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700963","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":401,"maximum":1098,"gross_charge":1056,"discounted_cash":792,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":401},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"United Healthcare","plan_name":"Commercial","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":401},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401}]}]},{"description":"Ribs Bilat And Pa Cxr 4  Views","code_information":[{"code":"4040100","type":"CDM"},{"code":"320","type":"RC"},{"code":"71111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":401,"maximum":1097,"gross_charge":1055,"discounted_cash":791,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":401},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":741},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"United Healthcare","plan_name":"Commercial","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":401},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401}]}]},{"description":"Set/drainage 14fr  #G10352","code_information":[{"code":"3250472","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250472","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1095,"gross_charge":1053,"discounted_cash":790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":400},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"Commercial","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":400},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":".Pathology Slide Rev Mayo","code_information":[{"code":"4016091-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88321","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":400,"maximum":1094,"gross_charge":1052,"discounted_cash":789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":400},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":"Regadenoson 0.4 Mg/5 Ml","code_information":[{"code":"4078326","type":"CDM"},{"code":"636","type":"RC"},{"code":"46965","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1093,"gross_charge":1051,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":738},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"Commercial","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":399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Us Inj Large Joint","code_information":[{"code":"4040464","type":"CDM"},{"code":"761","type":"RC"},{"code":"20611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1093,"gross_charge":1051,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":738},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"Commercial","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":399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399}]}]},{"description":"Us Inj Sm Joint","code_information":[{"code":"4040462","type":"CDM"},{"code":"761","type":"RC"},{"code":"20604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1093,"gross_charge":1051,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":738},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"Commercial","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":399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399}]}]},{"description":"MRI Scan","code_information":[{"code":"4181209-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70553","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":399,"maximum":1093,"gross_charge":1051,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":738},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"Commercial","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":399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399}]}]},{"description":"Blade Tricut 2.9mm","code_information":[{"code":"3250634","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250634","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1092,"gross_charge":1050,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399}]}]},{"description":"Secukinumab 125 Mg/5 Ml Vial","code_information":[{"code":"4070268","type":"CDM"},{"code":"636","type":"RC"},{"code":"78116","type":"CPT","modifier":"861"}],"standard_charges":[{"setting":"outpatient","modifier_code":["861"],"minimum":399,"maximum":1091,"gross_charge":1049,"discounted_cash":787,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":399},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":736},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"United Healthcare","plan_name":"Commercial","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":399},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Cv Spine Cerv 2-3 Views (Mcr Tech)","code_information":[{"code":"1700135","type":"CDM"},{"code":"320","type":"RC"},{"code":"72040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":397,"maximum":1088,"gross_charge":1046,"discounted_cash":785,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":734},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"United Healthcare","plan_name":"Commercial","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":397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397}]}]},{"description":"Cv Spine Thoracic 2 Views (Mcr Tech)","code_information":[{"code":"1700137","type":"CDM"},{"code":"320","type":"RC"},{"code":"72070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":397,"maximum":1088,"gross_charge":1046,"discounted_cash":785,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":734},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"United Healthcare","plan_name":"Commercial","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":397},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397}]}]},{"description":".Red Bld Cells Leukocytes Rdcd Iradiated","code_information":[{"code":"4020156","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9040","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":396,"maximum":1083,"gross_charge":1041,"discounted_cash":781,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":396},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"Commercial","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":396},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Drill/mini-acutrak 2","code_information":[{"code":"3252112","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":396,"maximum":1083,"gross_charge":1041,"discounted_cash":781,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":396},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"Commercial","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":396},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"4.0 Cannulated Screw 52 Mm Short Thread","code_information":[{"code":"3700134","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":396,"maximum":1083,"gross_charge":1041,"discounted_cash":781,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":396},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":731},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"Commercial","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":396},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Screw/cannulated 4.0 30mm Long Thread","code_information":[{"code":"3252025","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":395,"maximum":1082,"gross_charge":1040,"discounted_cash":780,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":395},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"Screw/cannulated 4.0 52mm #207.752","code_information":[{"code":"3251357","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":395,"maximum":1082,"gross_charge":1040,"discounted_cash":780,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":395},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":730},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"Basket Gemini Stone","code_information":[{"code":"3258882","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258882","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":395,"maximum":1081,"gross_charge":1039,"discounted_cash":779,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":395},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":729},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"Commercial","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":395},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"Blade Bone Mill Medium","code_information":[{"code":"3700261","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700261","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":394,"maximum":1080,"gross_charge":1038,"discounted_cash":779,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Inj Anes Agent Sciatic Nerve Continuous","code_information":[{"code":"4080304","type":"CDM"},{"code":"360","type":"RC"},{"code":"64446","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":394,"maximum":1077,"gross_charge":1036,"discounted_cash":777,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":727},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"Commercial","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":394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Gi Tube Insertion","code_information":[{"code":"4040252-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74340","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":394,"maximum":1077,"gross_charge":1036,"discounted_cash":777,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":727},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"Commercial","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":394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Gi Tube Placement","code_information":[{"code":"4040311-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74340","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":394,"maximum":1077,"gross_charge":1036,"discounted_cash":777,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":394},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":727},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"Commercial","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":394},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Cv Spine Lumbar 2-3 Views (Mcr Tech)","code_information":[{"code":"1700138","type":"CDM"},{"code":"320","type":"RC"},{"code":"72100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1076,"gross_charge":1035,"discounted_cash":776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":393},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"United Healthcare","plan_name":"Commercial","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":393},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Nm Cardiac Amyloid Scan","code_information":[{"code":"4060338","type":"CDM"},{"code":"341","type":"RC"},{"code":"78803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1076,"gross_charge":1035,"discounted_cash":776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":393},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"United Healthcare","plan_name":"Commercial","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":393},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Nm Sentinel Node (Inj Only)","code_information":[{"code":"4060324","type":"CDM"},{"code":"341","type":"RC"},{"code":"38792","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1075,"gross_charge":1034,"discounted_cash":776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":693},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":393},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":726},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"United Healthcare","plan_name":"Commercial","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":393},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Nm Thyroid Uptake","code_information":[{"code":"4060317","type":"CDM"},{"code":"341","type":"RC"},{"code":"78012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1075,"gross_charge":1034,"discounted_cash":776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":693},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":393},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":726},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"United Healthcare","plan_name":"Commercial","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":393},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Retractor/malleable Graft #232024","code_information":[{"code":"3251233","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":392,"maximum":1073,"gross_charge":1032,"discounted_cash":774,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":392},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":724},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"United Healthcare","plan_name":"Commercial","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":392},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x75mm","code_information":[{"code":"3252042","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":392,"maximum":1072,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":691},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":392},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x85mm","code_information":[{"code":"3700987","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":392,"maximum":1072,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":691},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":392},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392}]}]},{"description":"Balloon Hercules","code_information":[{"code":"3258329","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1726","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1071,"gross_charge":1030,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x65mm","code_information":[{"code":"3252039","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1071,"gross_charge":1030,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x55mm","code_information":[{"code":"3700108","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1071,"gross_charge":1030,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/locking 5.0 #458.942","code_information":[{"code":"3250739","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/locking 5.0x52  #458.952","code_information":[{"code":"3250678","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/locking 30mm #458-930","code_information":[{"code":"3251631","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/locking 5.0 #458.944","code_information":[{"code":"3259771","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/locking 5.0x46mm #458.946","code_information":[{"code":"3251237","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Screw/titanium 5.0mmx6mm","code_information":[{"code":"3251929","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"5.0 Tilocking Screw 76mm","code_information":[{"code":"3700021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Ti Locking Screw 5.0x64mm","code_information":[{"code":"3700068","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1070,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Cv Tib/fib Left 2 Views (Mcr Tech)","code_information":[{"code":"1700240-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":391,"maximum":1069,"gross_charge":1028,"discounted_cash":771,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Cv Tib/fib Right 2 Views (Mcr Tech)","code_information":[{"code":"1700241-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":391,"maximum":1069,"gross_charge":1028,"discounted_cash":771,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Orbits 4 Views","code_information":[{"code":"4040118-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70200","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":391,"maximum":1069,"gross_charge":1028,"discounted_cash":771,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":722},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Commercial","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":391},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Neg Press Wnd Tx </= 50 Sq Cm","code_information":[{"code":"3290477","type":"CDM"},{"code":"761","type":"RC"},{"code":"97607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1068,"gross_charge":1027,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":721},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"United Healthcare","plan_name":"Commercial","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":390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390}]}]},{"description":"Spinal Muscular Atrophy Carrier Screen","code_information":[{"code":"4017774","type":"CDM"},{"code":"300","type":"RC"},{"code":"81329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1068,"gross_charge":1027,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":721},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"United Healthcare","plan_name":"Commercial","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":390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390}]}]},{"description":"Rabies Vaccine (Hdcc)","code_information":[{"code":"4074440","type":"CDM"},{"code":"636","type":"RC"},{"code":"50632001001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":390,"maximum":2801,"gross_charge":1026,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ribs Left Uni And Pa Cxr","code_information":[{"code":"4040553-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"71101","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":390,"maximum":1067,"gross_charge":1026,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Commercial","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":390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390}]}]},{"description":"Ribs Right Uni And Pa Cxr","code_information":[{"code":"4040554-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"71101","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":390,"maximum":1067,"gross_charge":1026,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":390},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":720},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Commercial","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":390},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390}]}]},{"description":"Screw/locking 3.5mm #212.125","code_information":[{"code":"3250709","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1064,"gross_charge":1023,"discounted_cash":767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":389},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":718},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"Commercial","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":389},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389}]}]},{"description":"Mr Spine Thor Wo 3 8 Seq Disc Serv","code_information":[{"code":"4181207-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72146","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":389,"maximum":1064,"gross_charge":1023,"discounted_cash":767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":686},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":389},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":718},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"Commercial","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":389},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389}]}]},{"description":"Cysto Voiding","code_information":[{"code":"4040305-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74455","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":388,"maximum":1063,"gross_charge":1022,"discounted_cash":767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":388},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Poliovirus Ab Neutral   Mayo","code_information":[{"code":"4016537","type":"CDM"},{"code":"300","type":"RC"},{"code":"86382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1058,"gross_charge":1017,"discounted_cash":763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":386},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":714},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"United Healthcare","plan_name":"Commercial","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":386},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Stent/optima 6x26","code_information":[{"code":"3258886","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2625","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1057,"gross_charge":1016,"discounted_cash":762,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":681},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":386},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Commercial","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":386},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Screw Self-drilling 5x175mm 60mm Thread","code_information":[{"code":"3700539","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1057,"gross_charge":1016,"discounted_cash":762,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":681},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":386},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Commercial","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":386},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x26mm","code_information":[{"code":"3252038","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1056,"gross_charge":1015,"discounted_cash":761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":386},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Commercial","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":386},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x40mm","code_information":[{"code":"3252041","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1056,"gross_charge":1015,"discounted_cash":761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":386},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Commercial","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":386},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Hemostat/absorbable 2x4","code_information":[{"code":"3700940","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1056,"gross_charge":1015,"discounted_cash":761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":386},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Commercial","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":386},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Bit Overdrill Evos 3.5mm","code_information":[{"code":"3700691","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1054,"gross_charge":1013,"discounted_cash":760,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":679},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":711},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Tap Evos 3.5mm W/ao Qc","code_information":[{"code":"3700687","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1054,"gross_charge":1013,"discounted_cash":760,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":679},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":711},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Plate/ti 7h 1/3 Tubular","code_information":[{"code":"3700899","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1054,"gross_charge":1013,"discounted_cash":760,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":679},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":711},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Screw/cortical 3.5x16mm #Cs-16","code_information":[{"code":"3258620","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Peg-smooth 14mm #P-14","code_information":[{"code":"3258623","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Us Ob Multi Less Than 14 Weeks","code_information":[{"code":"4060054","type":"CDM"},{"code":"402","type":"RC"},{"code":"76802","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Peg-smooth 22mm #P-22","code_information":[{"code":"3258585","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Ligamax Clip Applier","code_information":[{"code":"3700761","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700761","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Trocar Tip Insert 1.40x70mm","code_information":[{"code":"3700997","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Us Ob Multi Greater Than 14 Weeks","code_information":[{"code":"4060088-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76810","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":385,"maximum":1052,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":385},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Commercial","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":385},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Us Ob Limited","code_information":[{"code":"4060059-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76815","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":384,"maximum":1051,"gross_charge":1011,"discounted_cash":758,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":384},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":710},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"United Healthcare","plan_name":"Commercial","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":384},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384}]}]},{"description":"Elbow Complete Left Min Of 3 Views","code_information":[{"code":"4040513-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":384,"maximum":1050,"gross_charge":1010,"discounted_cash":758,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":384},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":709},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384}]}]},{"description":"Elbow Complete Right Min Of 3 Views","code_information":[{"code":"4040514-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":384,"maximum":1050,"gross_charge":1010,"discounted_cash":758,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":384},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":709},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384}]}]},{"description":"Implant/breast Saline 450cc #350-1680","code_information":[{"code":"3250460","type":"CDM"},{"code":"276","type":"RC"},{"code":"CP3250460","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":383,"maximum":1049,"gross_charge":1009,"discounted_cash":757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":708},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"United Healthcare","plan_name":"Commercial","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":383},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Tray/pneumothora 8f X 16cm","code_information":[{"code":"3258576","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258576","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":383,"maximum":1047,"gross_charge":1007,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"United Healthcare","plan_name":"Commercial","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":383},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Us Breast Left Complete","code_information":[{"code":"4060082-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76641","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":382,"maximum":1046,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"United Healthcare","plan_name":"Commercial","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":382},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Us Breast Complete Right Complete","code_information":[{"code":"4060084-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76641","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":382,"maximum":1046,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"United Healthcare","plan_name":"Commercial","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":382},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Screw Lp 3.0x12mm Cortical Mtp Ti","code_information":[{"code":"3700237","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":382,"maximum":1044,"gross_charge":1004,"discounted_cash":753,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":705},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Collagenase Ointment (30 Gm)","code_information":[{"code":"4077305","type":"CDM"},{"code":"637","type":"RC"},{"code":"50484001030","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":381,"maximum":2801,"gross_charge":1002,"discounted_cash":752,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":381},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Recovery Room Charge 76-90","code_information":[{"code":"3220013","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220013","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1041,"gross_charge":1001,"discounted_cash":751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":671},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":380},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":703},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Us Ext W Doppler Bil","code_information":[{"code":"4060064","type":"CDM"},{"code":"921","type":"RC"},{"code":"93970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1040,"gross_charge":1000,"discounted_cash":750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":380},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":702},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"United Healthcare","plan_name":"Commercial","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":380},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"710088","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1040,"gross_charge":1000,"discounted_cash":750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":380},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":702},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"United Healthcare","plan_name":"Commercial","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":380},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Magnevist Vial (20 Ml)","code_information":[{"code":"3255757","type":"CDM"},{"code":"255","type":"RC"},{"code":"50419018801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":380,"maximum":2801,"gross_charge":999,"discounted_cash":749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":380},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":701},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Mra Pelvis W And Wo","code_information":[{"code":"4180155-TC","type":"CDM"},{"code":"618","type":"RC"},{"code":"72198","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":380,"maximum":1039,"gross_charge":999,"discounted_cash":749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":380},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":701},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"Commercial","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":380},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Factor Ix Chromogenic Activity  Mayo","code_information":[{"code":"4016294","type":"CDM"},{"code":"300","type":"RC"},{"code":"85130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":379,"maximum":1037,"gross_charge":997,"discounted_cash":748,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":379},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":700},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379}]}]},{"description":"Peg-threaded 30mm #Tp-300000","code_information":[{"code":"3251911","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1035,"gross_charge":995,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Plug/medullary Cement #8011-10-01","code_information":[{"code":"3251030","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1035,"gross_charge":995,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Screw/canc 2.5x16mm #Sp16","code_information":[{"code":"3251708","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1035,"gross_charge":995,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Screw/canc 2.5x18mm #Sp-18","code_information":[{"code":"3259554","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1035,"gross_charge":995,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Screw/cortical 3.5x18mm #Cs18","code_information":[{"code":"3258626","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1035,"gross_charge":995,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Screw/ti Locking Self Tapping 5.0x18mm","code_information":[{"code":"3252044","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1034,"gross_charge":994,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Forcep/grasping Retracting #370-115","code_information":[{"code":"3256738","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256738","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1034,"gross_charge":994,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":378},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":698},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Commercial","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":378},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Screw/peri-loc 3.5mmx10mm S/n","code_information":[{"code":"3252080","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1033,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":377},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":697},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377}]}]},{"description":"Screw/3.5 Locking 12mm","code_information":[{"code":"3252108","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1033,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":377},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":697},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377}]}]},{"description":"Screw/3.5 Locking 14mm","code_information":[{"code":"3252109","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1033,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":377},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":697},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377}]}]},{"description":"Screw/3.5 Locking 18mm","code_information":[{"code":"3252110","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1033,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":377},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":697},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377}]}]},{"description":"Filgrastim-sndz 300 Mcg Syringe","code_information":[{"code":"4079140","type":"CDM"},{"code":"636","type":"RC"},{"code":"61314030401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":377,"maximum":2801,"gross_charge":992,"discounted_cash":744,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":665},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":377},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Screw Evos 3.5x12mm Locking","code_information":[{"code":"3700606","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x24mm Locking","code_information":[{"code":"3700629","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x14mm Locking","code_information":[{"code":"3700605","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x20mm Locking","code_information":[{"code":"3700646","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x36mm Locking","code_information":[{"code":"3700631","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x22mm Locking","code_information":[{"code":"3700781","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x26mm Locking","code_information":[{"code":"3700682","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x34mm Locking","code_information":[{"code":"3700630","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x38mm Locking","code_information":[{"code":"3700632","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x16mm Locking","code_information":[{"code":"3700604","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x30mm Locking","code_information":[{"code":"3700798","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x42mm Locking","code_information":[{"code":"3700683","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x28mm Locking","code_information":[{"code":"3700647","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x32mm Locking","code_information":[{"code":"3700645","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x10mm Locking","code_information":[{"code":"3700872","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 2.7mmx26mm T8","code_information":[{"code":"3700780","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x40mm Locking","code_information":[{"code":"3700799","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x44mm Locking","code_information":[{"code":"3700633","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x46mm Locking","code_information":[{"code":"3700634","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw Evos 3.5x18mm Locking","code_information":[{"code":"3700874","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1030,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":376},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":695},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Commercial","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":376},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Screw/cortical #A60-15040","code_information":[{"code":"3250391","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1028,"gross_charge":988,"discounted_cash":741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Screw/cortical #A60-15050","code_information":[{"code":"3250392","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1028,"gross_charge":988,"discounted_cash":741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Cardiac Monitor 16-30 Days Scan/analysis","code_information":[{"code":"4030342","type":"CDM"},{"code":"730","type":"RC"},{"code":"93271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1028,"gross_charge":988,"discounted_cash":741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"8.0mm Carbon Fiber Rod 220mm","code_information":[{"code":"3700052","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1028,"gross_charge":988,"discounted_cash":741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":694},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Screw/ Locking 2.7 #02.211.032","code_information":[{"code":"3251258","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1026,"gross_charge":987,"discounted_cash":740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Commercial","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":375},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Passive Spheres","code_information":[{"code":"3700713","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700713","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1026,"gross_charge":987,"discounted_cash":740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":662},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Commercial","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":375},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Chemotherapy Im Or Sq Non-hormonal","code_information":[{"code":"3290102","type":"CDM"},{"code":"331","type":"RC"},{"code":"96401","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1023,"gross_charge":984,"discounted_cash":738,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":660},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":691},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Screw/ Variable #02.211.024","code_information":[{"code":"3250441","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1023,"gross_charge":984,"discounted_cash":738,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":660},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":691},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Screw/ Variable Locking 2.7x40","code_information":[{"code":"3250970","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1023,"gross_charge":984,"discounted_cash":738,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":660},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":691},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Screw/cannulated 4.5x32mm 214.532","code_information":[{"code":"3256381","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1023,"gross_charge":984,"discounted_cash":738,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":660},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":691},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Sinuses 1 2 Views","code_information":[{"code":"4040244-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70210","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":374,"maximum":1023,"gross_charge":984,"discounted_cash":738,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":660},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":691},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Screw/conical Can #02.205.260","code_information":[{"code":"3251480","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1022,"gross_charge":983,"discounted_cash":737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"United Healthcare","plan_name":"Commercial","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":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Screw/conical Can 5.0","code_information":[{"code":"3259333","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1022,"gross_charge":983,"discounted_cash":737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"United Healthcare","plan_name":"Commercial","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":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Screw/conical Can 5.0 #02205280","code_information":[{"code":"3259231","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1022,"gross_charge":983,"discounted_cash":737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":374},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"United Healthcare","plan_name":"Commercial","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":374},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Pin/cerclage 4.5mm Threaded #298.803s","code_information":[{"code":"3258904","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":372,"maximum":1019,"gross_charge":980,"discounted_cash":735,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":372},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":688},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"United Healthcare","plan_name":"Commercial","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":372},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372}]}]},{"description":"Us Breast Needle Loc Ea Addtl Lesion","code_information":[{"code":"4003011","type":"CDM"},{"code":"402","type":"RC"},{"code":"19286","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":372,"maximum":1019,"gross_charge":980,"discounted_cash":735,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":372},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":688},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"United Healthcare","plan_name":"Commercial","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":372},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372}]}]},{"description":"Cysto W Disp Scope Mcr Tech","code_information":[{"code":"710357","type":"CDM"},{"code":"510","type":"RC"},{"code":"52000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1016,"gross_charge":977,"discounted_cash":733,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":686},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"United Healthcare","plan_name":"Commercial","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":371},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371}]}]},{"description":"Bit Drill 3.5mm","code_information":[{"code":"3251176","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251176","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1015,"gross_charge":976,"discounted_cash":732,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"United Healthcare","plan_name":"Commercial","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":371},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371}]}]},{"description":"Ribs Bilat 3 Views","code_information":[{"code":"4040107-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71110","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":370,"maximum":1012,"gross_charge":973,"discounted_cash":730,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":652},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":370},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":683},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370}]}]},{"description":"Overtube-esophageal #711146","code_information":[{"code":"3258929","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":369,"maximum":1010,"gross_charge":971,"discounted_cash":728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":369},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":682},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"United Healthcare","plan_name":"Commercial","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":369},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369}]}]},{"description":"Human Papillomavirus 9-valent Vaccine","code_information":[{"code":"4077845","type":"CDM"},{"code":"636","type":"RC"},{"code":"64121","type":"CPT","modifier":"2"}],"standard_charges":[{"setting":"outpatient","modifier_code":["2"],"minimum":368,"maximum":1007,"gross_charge":968,"discounted_cash":726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":368},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":680},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Tc-99m Sestamibi","code_information":[{"code":"4070115","type":"CDM"},{"code":"250","type":"RC"},{"code":"69945009220","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":367,"maximum":2801,"gross_charge":967,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":367},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Bone Survey Complete","code_information":[{"code":"4040200","type":"CDM"},{"code":"320","type":"RC"},{"code":"77075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":367,"maximum":1005,"gross_charge":966,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":367},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":678},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"United Healthcare","plan_name":"Commercial","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":367},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367}]}]},{"description":"Vaginogram","code_information":[{"code":"4040275","type":"CDM"},{"code":"320","type":"RC"},{"code":"74775","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Screw 5.0mmx60mm #04.005.550s","code_information":[{"code":"3259821","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Screw 5.0mmx66mm #04.005.556s","code_information":[{"code":"3251255","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Screw/locking 5.0x56mm","code_information":[{"code":"3251888","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Us Duplex Scan Abd 1","code_information":[{"code":"4060093","type":"CDM"},{"code":"921","type":"RC"},{"code":"93975","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Hip Navigation Remote","code_information":[{"code":"3700938","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700938","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Removal Of Implant, Deep Mcr Tech","code_information":[{"code":"710398","type":"CDM"},{"code":"510","type":"RC"},{"code":"20680","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1003,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":677},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Screw 5.0mmx64mm #04.005.554s","code_information":[{"code":"3251953","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1002,"gross_charge":963,"discounted_cash":722,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Screw/locking Ti 4.0 #04.005.424s","code_information":[{"code":"3250428","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1002,"gross_charge":963,"discounted_cash":722,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Screw/locking Ti 4.0x60mm #04.005.450s","code_information":[{"code":"3251816","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1002,"gross_charge":963,"discounted_cash":722,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":366},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Commercial","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":366},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":".Path Consult No Prep Mayo","code_information":[{"code":"4016962","type":"CDM"},{"code":"310","type":"RC"},{"code":"88325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":999,"gross_charge":961,"discounted_cash":721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":644},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":675},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"United Healthcare","plan_name":"Commercial","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":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Screw/ti Locking Self Drilling 5.0x18mm","code_information":[{"code":"3252043","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":998,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Screw Locking 3x16","code_information":[{"code":"3700721","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":998,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Screw Locking 3x12","code_information":[{"code":"3700722","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":998,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Screw Locking 3x14","code_information":[{"code":"3700720","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":998,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Screw Locking 3x18","code_information":[{"code":"3700724","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":998,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":".Mh1 Gene Methylation Dhmc","code_information":[{"code":"4017767-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"81288","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":365,"maximum":998,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Screw/uncortical","code_information":[{"code":"3251715","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":364,"maximum":997,"gross_charge":959,"discounted_cash":719,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":364},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364}]}]},{"description":"Splint/elbow Cubital Tunnel S/m","code_information":[{"code":"3700692","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700692","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":364,"maximum":996,"gross_charge":958,"discounted_cash":719,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":642},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":364},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":673},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"Commercial","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":364},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364}]}]},{"description":"Peg-threaded 26mm #Tp-26","code_information":[{"code":"3258625","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":994,"gross_charge":956,"discounted_cash":717,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Commercial","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":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Screw/canc 2.5x14mm #Sp-14","code_information":[{"code":"3251822","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":994,"gross_charge":956,"discounted_cash":717,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Commercial","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":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Pin 2.0mm Provisional Fix 14mm","code_information":[{"code":"3700650","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":994,"gross_charge":956,"discounted_cash":717,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Commercial","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":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Needle/biopsy 14ga (Gun) X10 Cm","code_information":[{"code":"3259641","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":993,"gross_charge":955,"discounted_cash":716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":670},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Commercial","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":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Screw Lp 2.4x22 Mm Cortex","code_information":[{"code":"3700467","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":992,"gross_charge":954,"discounted_cash":716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":639},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Splint/elbow Cubital Tunnel M/l","code_information":[{"code":"3700693","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700693","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":992,"gross_charge":954,"discounted_cash":716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":639},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Plate/spoon 6-hole #240.06","code_information":[{"code":"3256578","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3256578","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":992,"gross_charge":954,"discounted_cash":716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":639},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Drill Bit 2.0 Quick Coupling 140x60mm","code_information":[{"code":"3700396","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":362,"maximum":990,"gross_charge":952,"discounted_cash":714,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":362},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":668},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"United Healthcare","plan_name":"Commercial","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":362},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362}]}]},{"description":"Screw/ti Locking 5.0x90 Mm","code_information":[{"code":"3700366","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":361,"maximum":987,"gross_charge":949,"discounted_cash":712,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":361},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":666},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Commercial","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":361},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361}]}]},{"description":"Screw 5.0 Ti Locking 62mm","code_information":[{"code":"3700399","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":361,"maximum":987,"gross_charge":949,"discounted_cash":712,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":361},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":666},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Commercial","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":361},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361}]}]},{"description":"Screw/locking 34mm  #458.934","code_information":[{"code":"3259753","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":361,"maximum":987,"gross_charge":949,"discounted_cash":712,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":361},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":666},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Commercial","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":361},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361}]}]},{"description":"Spine Sacrum Coccyx","code_information":[{"code":"4040171-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72220","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":360,"maximum":986,"gross_charge":948,"discounted_cash":711,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":635},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":360},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":665},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360}]}]},{"description":"Screw/conical Can 5.0  65mm #02205265","code_information":[{"code":"3259674","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":985,"gross_charge":947,"discounted_cash":710,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":360},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":665},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"United Healthcare","plan_name":"Commercial","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":360},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360}]}]},{"description":"Kii Shielded Bladed Access System Thread","code_information":[{"code":"3259278","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259278","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":359,"maximum":982,"gross_charge":944,"discounted_cash":708,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":359},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"United Healthcare","plan_name":"Commercial","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":359},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359}]}]},{"description":"Screw/evolve Eps Cort 3.5x14mm","code_information":[{"code":"3252094","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Screw/evolve Eps Cort 3.5x16mm","code_information":[{"code":"3252096","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Screw/evolve Eps Cort 3.5x30mm","code_information":[{"code":"3252097","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Screw/evolve Eps Cort 3.5x32mm","code_information":[{"code":"3252098","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Screw/evolve Eps Cort 3.5x34mm","code_information":[{"code":"3252099","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Screw/evolve Eps Cort 3.5x38mm","code_information":[{"code":"3252101","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":".Culture 04 (Chrome Bm) Mayo","code_information":[{"code":"4011470-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88237","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":358,"maximum":980,"gross_charge":942,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":".Autoantibody Eval X9","code_information":[{"code":"4011462","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":979,"gross_charge":941,"discounted_cash":706,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":358},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":661},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Screw/locking Ti 4.0x70mm #04.005.460","code_information":[{"code":"3251819","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Apex Hole Elim Positive Stop","code_information":[{"code":"3251146","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Screw/locking 5.0 #04.005.542s","code_information":[{"code":"3250418","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Screw/locking Ti 4.0","code_information":[{"code":"3251472","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Screw/locking Ti 4.0x62mm #04.005.452","code_information":[{"code":"3251817","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Screw/locking Ti 4.0x62mm #04.005.452s","code_information":[{"code":"3252069","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Screw/locking Ti 4.0x72mm #04.005.462","code_information":[{"code":"3251820","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":976,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Peg-smooth 20mm #P-20","code_information":[{"code":"3258613","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":973,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":627},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":657},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Fibrotest Actitest Mayo","code_information":[{"code":"4017639","type":"CDM"},{"code":"300","type":"RC"},{"code":"81596","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":973,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":627},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":356},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":657},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"Commercial","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":356},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356}]}]},{"description":"Cannula Endosee Advance","code_information":[{"code":"3700415","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Screw Cannul Long 20mm","code_information":[{"code":"3700939","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Screw R3con Non-locking 2.7 X 18mm","code_information":[{"code":"3701129","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Screw Bg Non-locking 2.5 X 12mm","code_information":[{"code":"3701111","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Screw Bg Non-locking 2.5 X 18mm","code_information":[{"code":"3701112","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":".Antibody Screen Dhmc *","code_information":[{"code":"4020145","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":".Antibody Detection  Dhmc","code_information":[{"code":"4016904","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":971,"gross_charge":934,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":626},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":355},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":656},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":".Ref Mycobacteria Amp Probe","code_information":[{"code":"4016115","type":"CDM"},{"code":"300","type":"RC"},{"code":"87556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":354,"maximum":968,"gross_charge":931,"discounted_cash":698,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":354},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":654},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"United Healthcare","plan_name":"Commercial","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":354},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":".Path Consult No Prep Mayo","code_information":[{"code":"4016023-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88325","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":354,"maximum":968,"gross_charge":931,"discounted_cash":698,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":354},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":654},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"United Healthcare","plan_name":"Commercial","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":354},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Inj Anes Agent Femoral Nerve Continuous","code_information":[{"code":"4080306","type":"CDM"},{"code":"370","type":"RC"},{"code":"64448","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":967,"gross_charge":930,"discounted_cash":698,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":653},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"United Healthcare","plan_name":"Commercial","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":353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353}]}]},{"description":"Guidewire/nitinol #254514","code_information":[{"code":"3259076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":966,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353}]}]},{"description":"Screw Lp 3.0x10mm Cortical Mtp Ti","code_information":[{"code":"3700326","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":966,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353}]}]},{"description":"Sargramostim 500 Mcg / Ml","code_information":[{"code":"4077849","type":"CDM"},{"code":"636","type":"RC"},{"code":"10432036402","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":353,"maximum":2801,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Si Joints Xray Greater Than 3 Views","code_information":[{"code":"4040175-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72202","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":353,"maximum":966,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":353},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353}]}]},{"description":"Upper Gi Single Contrast","code_information":[{"code":"4040189-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74240","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":351,"maximum":960,"gross_charge":923,"discounted_cash":692,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":351},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":648},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"United Healthcare","plan_name":"Commercial","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":351},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351}]}]},{"description":"Hpv Biopsy*","code_information":[{"code":"4011977-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88365","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":351,"maximum":960,"gross_charge":923,"discounted_cash":692,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":351},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":648},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"United Healthcare","plan_name":"Commercial","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":351},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351}]}]},{"description":"Evolve Triad Screw 2.0x18mm 4942020n","code_information":[{"code":"3700072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":959,"gross_charge":922,"discounted_cash":692,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":350},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350}]}]},{"description":".Charge Mayo Musk Autoab","code_information":[{"code":"4017095","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":959,"gross_charge":922,"discounted_cash":692,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":350},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350}]}]},{"description":"Screw/locking 5.0mmx32m #212.210","code_information":[{"code":"3258739","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":349,"maximum":956,"gross_charge":919,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":349},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349}]}]},{"description":"Mesh/prolite Ultra Surgical 6x6 #0112720","code_information":[{"code":"3258091","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":349,"maximum":955,"gross_charge":918,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":349},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"Commercial","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":349},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349}]}]},{"description":"Screw/captured 4.5x45 #7164-2145","code_information":[{"code":"3258646","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":349,"maximum":955,"gross_charge":918,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":349},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"Commercial","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":349},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349}]}]},{"description":"Plate/lcp 1/3 Tubular 5-hole #241.351","code_information":[{"code":"3258795","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":349,"maximum":955,"gross_charge":918,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":349},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"Commercial","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":349},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349}]}]},{"description":"Plate/lcp 1/3 Tubular 6hx69mm #241.361","code_information":[{"code":"3258786","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":349,"maximum":955,"gross_charge":918,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":349},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"Commercial","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":349},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349}]}]},{"description":"Plate/lcp 1/3 Tubular 7hx81mm #241.371","code_information":[{"code":"3258787","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":348,"maximum":954,"gross_charge":917,"discounted_cash":688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":348},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Foot Left Minimum Of 3 Views","code_information":[{"code":"4040525-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73630","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":348,"maximum":954,"gross_charge":917,"discounted_cash":688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":348},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Foot Right Minimum Of 3 Views","code_information":[{"code":"4040526-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73630","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":348,"maximum":954,"gross_charge":917,"discounted_cash":688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":348},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":644},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Op Cholangi/add","code_information":[{"code":"4040158-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74301","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":348,"maximum":953,"gross_charge":916,"discounted_cash":687,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":348},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Spine Lumbar W Bending 6 Views","code_information":[{"code":"4040162-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72114","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":348,"maximum":953,"gross_charge":916,"discounted_cash":687,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":348},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Drill Bit/tfna 4.2mm  X145mm","code_information":[{"code":"3259599","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":348,"maximum":952,"gross_charge":915,"discounted_cash":686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":348},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":642},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw/evolve Triad 2.0x22mm","code_information":[{"code":"3252082","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":948,"gross_charge":912,"discounted_cash":684,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":611},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":347},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"Commercial","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":347},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347}]}]},{"description":"Screw/evolve Triad Cann 2.5x22mm","code_information":[{"code":"3252085","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":948,"gross_charge":912,"discounted_cash":684,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":611},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":347},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"Commercial","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":347},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347}]}]},{"description":".Charge Drug Suseptibility Mayo","code_information":[{"code":"4017967","type":"CDM"},{"code":"300","type":"RC"},{"code":"87900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":345,"maximum":945,"gross_charge":909,"discounted_cash":682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":345},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":638},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345}]}]},{"description":"Spacer Articul Tapered #1363-08-000","code_information":[{"code":"3251611","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":345,"maximum":944,"gross_charge":908,"discounted_cash":681,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":345},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":637},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345}]}]},{"description":"Bit Drill 2.5","code_information":[{"code":"3251202","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":345,"maximum":944,"gross_charge":908,"discounted_cash":681,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":345},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":637},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345}]}]},{"description":"Kit/introducer 8fr #0607780","code_information":[{"code":"3250947","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1894","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":345,"maximum":943,"gross_charge":907,"discounted_cash":680,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":345},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":637},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"Commercial","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":345},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345}]}]},{"description":"Drill Bit Cannulated 2.0mm","code_information":[{"code":"3700230","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":345,"maximum":943,"gross_charge":907,"discounted_cash":680,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":345},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":637},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"Commercial","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":345},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345}]}]},{"description":"Pack/custom Hip Procedure","code_information":[{"code":"3211507","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":345,"maximum":943,"gross_charge":907,"discounted_cash":680,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":608},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":345},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":637},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"Commercial","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":345},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345}]}]},{"description":"Drill Bit 2.7mm","code_information":[{"code":"3700405","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700405","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":941,"gross_charge":905,"discounted_cash":679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"United Healthcare","plan_name":"Commercial","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":344},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344}]}]},{"description":"Rast Nut Food Panel Mayo 10","code_information":[{"code":"4016074","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":941,"gross_charge":905,"discounted_cash":679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"United Healthcare","plan_name":"Commercial","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":344},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344}]}]},{"description":"Glucagon 1 Mg Vial","code_information":[{"code":"4073089","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323059403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":343,"maximum":2801,"gross_charge":903,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":605},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":343},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":634},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Drug Test 22 Plus Drug Classes","code_information":[{"code":"4012321","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0483","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":938,"gross_charge":902,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":343},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"United Healthcare","plan_name":"Commercial","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":343},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343}]}]},{"description":"4.0/3.0 Self Drill Schanz 20 Thread","code_information":[{"code":"3700130","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":938,"gross_charge":902,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":343},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"United Healthcare","plan_name":"Commercial","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":343},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343}]}]},{"description":"Screw/locking 3.5mmx50mm #212.121","code_information":[{"code":"3258776","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Iv Infusion Up To 1 Hour Initial Er","code_information":[{"code":"3230200","type":"CDM"},{"code":"450","type":"RC"},{"code":"96365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Iv Infusion Up To 1 Hour Initial Clinic","code_information":[{"code":"3290200","type":"CDM"},{"code":"260","type":"RC"},{"code":"96365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Iv Infusion Up To 1 Hour Initial Er","code_information":[{"code":"323022","type":"CDM"},{"code":"450","type":"RC"},{"code":"96365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Iv Infusion Up To 1 Hour Initial Er","code_information":[{"code":"3230212","type":"CDM"},{"code":"450","type":"RC"},{"code":"96365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Iv Infusion Up To 1 Hr Initial Er 59 Mod","code_information":[{"code":"3231338-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96365","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Iv Infus Up To 1 Hour Initial Clin 59mod","code_information":[{"code":"3290415-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96365","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":340,"maximum":932,"gross_charge":896,"discounted_cash":672,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":601},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":629},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Us Prostate Transrectal","code_information":[{"code":"4060077","type":"CDM"},{"code":"402","type":"RC"},{"code":"76872","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":931,"gross_charge":895,"discounted_cash":671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":628},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Chikungunya Igg & Igm Ab  Mayo","code_information":[{"code":"4016854","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":931,"gross_charge":895,"discounted_cash":671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":340},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":628},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"Commercial","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":340},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Lw Pro Screw T1 3x36mm Cann Pt Thd","code_information":[{"code":"3700168","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":929,"gross_charge":893,"discounted_cash":670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":339},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"Commercial","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":339},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Low Pro Screw Ti 3x30mm Cann,pt Thd","code_information":[{"code":"3700231","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":928,"gross_charge":892,"discounted_cash":669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":339},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":626},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Screw Lo-pro Ti  3x28 Cannulated","code_information":[{"code":"3700343","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":928,"gross_charge":892,"discounted_cash":669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":339},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":626},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Supplies/bicap","code_information":[{"code":"3259633","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259633","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":928,"gross_charge":892,"discounted_cash":669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":339},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":626},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Cv Foot Left 3 Views (Mcr Tech)","code_information":[{"code":"1700216-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73630","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":338,"maximum":926,"gross_charge":890,"discounted_cash":668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":338},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":625},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338}]}]},{"description":"Cv Foot Right 3 Views (Mcr Tech)","code_information":[{"code":"1700217-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73630","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":338,"maximum":926,"gross_charge":890,"discounted_cash":668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":338},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":625},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338}]}]},{"description":".Path Consult W Slide Prep Mayo","code_information":[{"code":"4016470-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88323","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":337,"maximum":924,"gross_charge":888,"discounted_cash":666,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":337},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"United Healthcare","plan_name":"Commercial","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":337},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337}]}]},{"description":"Hip Bilateral And Pelvis 5+ Views","code_information":[{"code":"4040132-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73523","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":337,"maximum":922,"gross_charge":887,"discounted_cash":665,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":337},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":623},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"Commercial","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":337},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337}]}]},{"description":"3d Max Large Right Mesh","code_information":[{"code":"3700156","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":337,"maximum":921,"gross_charge":886,"discounted_cash":665,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":337},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337}]}]},{"description":"Y Chromosome Microdeletions Mayo","code_information":[{"code":"4017779","type":"CDM"},{"code":"300","type":"RC"},{"code":"81403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":919,"gross_charge":884,"discounted_cash":663,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":593},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":336},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":621},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"Commercial","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":336},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336}]}]},{"description":"Wire/guide Threaded Tip 3.2mm #7163-1690","code_information":[{"code":"3258201","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":917,"gross_charge":882,"discounted_cash":662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":619},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Ascope 4 Rhinolaryngo Slim","code_information":[{"code":"3700758","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1747","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":917,"gross_charge":882,"discounted_cash":662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":619},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Wrist Left 3 Or More","code_information":[{"code":"4040573-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73110","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":335,"maximum":917,"gross_charge":882,"discounted_cash":662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":619},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Wrist Right 3 Or More","code_information":[{"code":"4040574-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73110","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":335,"maximum":917,"gross_charge":882,"discounted_cash":662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":619},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Us Carotid W Doppler","code_information":[{"code":"4060085","type":"CDM"},{"code":"921","type":"RC"},{"code":"93880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":916,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":618},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"Commercial","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":335},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Pack/shoulder Arthroscopy #88492","code_information":[{"code":"3210541","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210541","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":916,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":618},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"Commercial","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":335},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Screw/cann 4.5x56mm Full Thrd","code_information":[{"code":"3251933","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":915,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":618},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Screw/cann 4.5x48mm Full Thrd","code_information":[{"code":"3251932","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":915,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":618},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Screw/cann 4.5x60mm Full Thrd","code_information":[{"code":"3251934","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":915,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":618},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Drill Bit Evos 2.5mm Qc Long","code_information":[{"code":"3700628","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":914,"gross_charge":879,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":617},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"3 Methoxytyramine 24hr Urine Mayo","code_information":[{"code":"4018028","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":914,"gross_charge":879,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":617},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Lens/duralens #Ac21d3","code_information":[{"code":"3250762","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2788","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":913,"gross_charge":878,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Vitrector #Ngp0020","code_information":[{"code":"3250778","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250778","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":913,"gross_charge":878,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Pack/custom Total Knee","code_information":[{"code":"3211508","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":913,"gross_charge":878,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":".Dhmc Surg Consult","code_information":[{"code":"4016915-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88321","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":334,"maximum":913,"gross_charge":878,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":334},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Commercial","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":334},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"8.0 Carbon Fiber Rod 200mm","code_information":[{"code":"3700128","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":912,"gross_charge":877,"discounted_cash":658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":333},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"Commercial","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":333},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333}]}]},{"description":"8.0 Carbon Fiber Rod 220mm","code_information":[{"code":"3700126","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":912,"gross_charge":877,"discounted_cash":658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":333},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"Commercial","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":333},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333}]}]},{"description":"8.0 Carbon Fiber Rod 240mm","code_information":[{"code":"3700129","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":912,"gross_charge":877,"discounted_cash":658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":333},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":616},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"Commercial","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":333},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333}]}]},{"description":"Code-intub Ventilation","code_information":[{"code":"4080239","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":332,"maximum":908,"gross_charge":873,"discounted_cash":655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":613},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332}]}]},{"description":".Each Addtional Marker","code_information":[{"code":"4017034-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":332,"maximum":908,"gross_charge":873,"discounted_cash":655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":613},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332}]}]},{"description":"Pneumococcal Conjugate Vaccine 20 Valent","code_information":[{"code":"4070216","type":"CDM"},{"code":"636","type":"RC"},{"code":"52000","type":"CPT","modifier":"2"}],"standard_charges":[{"setting":"outpatient","modifier_code":["2"],"minimum":332,"maximum":908,"gross_charge":873,"discounted_cash":655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":332},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":613},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Screw R3con Non-locking 3.5x16mm","code_information":[{"code":"3701150","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":907,"gross_charge":872,"discounted_cash":654,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":585},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw Low-pro Cort 3.5 X 18mm","code_information":[{"code":"3700204","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":907,"gross_charge":872,"discounted_cash":654,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":585},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw Low-pro Cort 3.5 X 22mm","code_information":[{"code":"3700199","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":907,"gross_charge":872,"discounted_cash":654,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":585},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":612},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/schanz 40mm #294.777","code_information":[{"code":"3251585","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":906,"gross_charge":871,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/cann Locking 5.0x75mm #02.205.075","code_information":[{"code":"3259966","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/cann Locking 5.0x80mm #02.205.080","code_information":[{"code":"3250172","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/locking 5.0mmx36m #212.212","code_information":[{"code":"3258741","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/locking 5.0mmx30m","code_information":[{"code":"3258738","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/locking 5.0mmx38m #212.213","code_information":[{"code":"3258742","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/locking 5.0mmx40m #212.214","code_information":[{"code":"3258743","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/locking 5.0mmx42m #212.215","code_information":[{"code":"3258744","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Screw/locking 5.0x55mm #222-541","code_information":[{"code":"3259014","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Tc-99m Macroaggregated Albumin","code_information":[{"code":"4070118","type":"CDM"},{"code":"250","type":"RC"},{"code":"A9540","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Us Pelvic Limited","code_information":[{"code":"4060074-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76857","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":331,"maximum":905,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":331},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":611},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Commercial","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":331},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Closed Tx Distal Rad Fx W/ Man Mcr Tech","code_information":[{"code":"710204","type":"CDM"},{"code":"510","type":"RC"},{"code":"25605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":330,"maximum":904,"gross_charge":869,"discounted_cash":652,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":330},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"Commercial","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":330},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330}]}]},{"description":"Interferon Alfa-2b 6mu/vial","code_information":[{"code":"4076287","type":"CDM"},{"code":"636","type":"RC"},{"code":"85064","type":"CPT","modifier":"703"}],"standard_charges":[{"setting":"outpatient","modifier_code":["703"],"minimum":329,"maximum":902,"gross_charge":867,"discounted_cash":650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":329},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":609},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Balloon Pdb","code_information":[{"code":"3258089","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":902,"gross_charge":867,"discounted_cash":650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":329},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":609},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329}]}]},{"description":"Lens/toric Technis Iol  #Zct450","code_information":[{"code":"3251713","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2787","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":900,"gross_charge":865,"discounted_cash":649,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":329},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":607},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"Commercial","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":329},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329}]}]},{"description":"Mycoplasma Pneumo Mole Detect Pcr  Mayo","code_information":[{"code":"4010922","type":"CDM"},{"code":"300","type":"RC"},{"code":"87581","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":899,"gross_charge":864,"discounted_cash":648,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":328},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":607},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328}]}]},{"description":"Chromium Whole Blood Mayo","code_information":[{"code":"4017964","type":"CDM"},{"code":"300","type":"RC"},{"code":"82495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":898,"gross_charge":863,"discounted_cash":647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":328},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"United Healthcare","plan_name":"Commercial","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":328},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328}]}]},{"description":"Cv Hip Bilat And Pelvis (Mcr Tech)","code_information":[{"code":"1700154","type":"CDM"},{"code":"320","type":"RC"},{"code":"73523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":895,"gross_charge":861,"discounted_cash":646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":327},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"United Healthcare","plan_name":"Commercial","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":327},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327}]}]},{"description":"Blade Saw 8x20mm Synthes","code_information":[{"code":"3700804","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700804","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":895,"gross_charge":861,"discounted_cash":646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":327},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"United Healthcare","plan_name":"Commercial","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":327},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327}]}]},{"description":"Mr Brain Wo 2 5 Sequence","code_information":[{"code":"4181213-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":326,"maximum":892,"gross_charge":858,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":575},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":326},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":602},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"Commercial","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":326},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"Cannulated Short Thread Screw 207.624","code_information":[{"code":"3700000","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":891,"gross_charge":857,"discounted_cash":643,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":326},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"Commercial","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":326},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"Special Proc1 Nurse 31-60","code_information":[{"code":"3210302","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":891,"gross_charge":857,"discounted_cash":643,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":326},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"Commercial","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":326},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"Drill Bit 2.0 Quick Coupling 110mm","code_information":[{"code":"3700774","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":325,"maximum":890,"gross_charge":856,"discounted_cash":642,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":601},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"United Healthcare","plan_name":"Commercial","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":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Acromioclav Joints","code_information":[{"code":"4040182-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73050","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":325,"maximum":890,"gross_charge":856,"discounted_cash":642,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":574},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":601},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"United Healthcare","plan_name":"Commercial","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":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Rod/ball Tip 2.5mm","code_information":[{"code":"3259604","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":325,"maximum":889,"gross_charge":855,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Commercial","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":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Cv Wrist Left 3 Views (Mcr Tech)","code_information":[{"code":"1700246-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73110","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":325,"maximum":889,"gross_charge":855,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Commercial","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":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Cv Wrist Right 3 Views (Mcr Tech)","code_information":[{"code":"1700247-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73110","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":325,"maximum":889,"gross_charge":855,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Commercial","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":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Paragard Copper Iud","code_information":[{"code":"701204","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7300","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":325,"maximum":888,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw 5.0 Ti Locking 76mm","code_information":[{"code":"3700397","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":325,"maximum":888,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Interceed Barrier 3 X 4 #4350","code_information":[{"code":"3255576","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1765","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":325,"maximum":888,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Retractor/laparoscopic #316100-rw","code_information":[{"code":"3251442","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":887,"gross_charge":853,"discounted_cash":640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":324},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":599},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"United Healthcare","plan_name":"Commercial","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":324},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324}]}]},{"description":".Mecon Cannabis Confirm Nms","code_information":[{"code":"4016916","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":885,"gross_charge":851,"discounted_cash":638,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":570},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":323},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":597},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"Commercial","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":323},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Dissolve Clot, Heart Vessel","code_information":[{"code":"3230208","type":"CDM"},{"code":"450","type":"RC"},{"code":"92977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":884,"gross_charge":850,"discounted_cash":638,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":570},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":323},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"United Healthcare","plan_name":"Commercial","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":323},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Thrombospondin Type 1 W 7a Ab Mayo","code_information":[{"code":"4017965","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":881,"gross_charge":847,"discounted_cash":635,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":322},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"Commercial","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":322},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":".Mecon Amp Confirm Nms","code_information":[{"code":"4016917","type":"CDM"},{"code":"300","type":"RC"},{"code":"80324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":881,"gross_charge":847,"discounted_cash":635,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":322},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"Commercial","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":322},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":"Tray/4fr Picc Intermediate #7715400","code_information":[{"code":"3256773","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256773","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":881,"gross_charge":847,"discounted_cash":635,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":322},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"Commercial","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":322},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":"Cutter/linear Prox 75mm #Tlc75-39","code_information":[{"code":"3259610","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259610","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":880,"gross_charge":846,"discounted_cash":635,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":321},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":594},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"Commercial","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":321},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321}]}]},{"description":".Cytogenetics Dna  Mayo","code_information":[{"code":"4017159","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":880,"gross_charge":846,"discounted_cash":635,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":321},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":594},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"Commercial","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":321},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321}]}]},{"description":"Tc-99m Diethylene-triamine-pentaacetate","code_information":[{"code":"4070119","type":"CDM"},{"code":"250","type":"RC"},{"code":"A4641","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":879,"gross_charge":845,"discounted_cash":634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":321},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":593},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":321},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Leuporlide Acetate Inj 3.75mg","code_information":[{"code":"70140","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1950","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":878,"gross_charge":844,"discounted_cash":633,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":321},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Commercial","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":321},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Drill Bit 2.5mm","code_information":[{"code":"3700554","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700554","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":877,"gross_charge":843,"discounted_cash":632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":320},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":592},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"Commercial","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":320},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"Drill Bit 2.0 #323.063","code_information":[{"code":"3251897","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":876,"gross_charge":842,"discounted_cash":632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":320},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":591},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":320},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"Bit Drill 1.8","code_information":[{"code":"3259872","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":876,"gross_charge":842,"discounted_cash":632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":320},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":591},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":320},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"End Cap #04.001.000","code_information":[{"code":"3251683","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251683","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":876,"gross_charge":842,"discounted_cash":632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":320},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":591},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"Commercial","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":320},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"Darbepoetin 40 Mcg / 0.4 Ml","code_information":[{"code":"4078141","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513002104","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":320,"maximum":2801,"gross_charge":841,"discounted_cash":631,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":564},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":320},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":590},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Ti End Cap For Tfn 10mm Ext","code_information":[{"code":"3700140","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":319,"maximum":874,"gross_charge":840,"discounted_cash":630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":563},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":319},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"Commercial","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":319},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Ti End Cap For Tfn 5mm Ext","code_information":[{"code":"3700139","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":319,"maximum":874,"gross_charge":840,"discounted_cash":630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":563},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":319},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"Commercial","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":319},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Pack/lower Extremity/knee Pack","code_information":[{"code":"3211503","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":319,"maximum":873,"gross_charge":839,"discounted_cash":629,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":562},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":319},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":589},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"Commercial","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":319},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Transfix Pin 6.0 Mm X 225 Mm","code_information":[{"code":"3700085","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":870,"gross_charge":837,"discounted_cash":628,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw/locking 5.0mmx28m #212.208","code_information":[{"code":"3258737","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx18mm T8","code_information":[{"code":"3700652","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx14mm T8","code_information":[{"code":"3700651","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx16mm T8","code_information":[{"code":"3700653","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx28mm T8","code_information":[{"code":"3700491","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx20mm T8","code_information":[{"code":"3700867","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx12mm T8","code_information":[{"code":"3700479","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx55mm T8","code_information":[{"code":"3700582","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx15mm T8","code_information":[{"code":"3700480","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx17mm T8","code_information":[{"code":"3700481","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx18mm T8","code_information":[{"code":"3700482","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx19mm T8","code_information":[{"code":"3700579","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx22mm T8","code_information":[{"code":"3700580","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx24mm T8","code_information":[{"code":"3700483","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx26mm T8","code_information":[{"code":"3700484","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx30mm T8","code_information":[{"code":"3700492","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx32mm T8","code_information":[{"code":"3700493","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx44mm T8","code_information":[{"code":"3700581","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx50mm T8","code_information":[{"code":"3700786","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx60mm T8","code_information":[{"code":"3700583","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx12mm T8","code_information":[{"code":"3700866","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw Evos 2.7mmx13mm T8","code_information":[{"code":"3700865","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":869,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":318},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":587},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Commercial","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":318},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Screw/4.0mm X 44mm Short","code_information":[{"code":"3251853","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated 4.0 32  Long Thread","code_information":[{"code":"3251928","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated 4.0x 48mm #207.748","code_information":[{"code":"3251251","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated 4.0x32mm #207.632","code_information":[{"code":"3251227","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated #207.636","code_information":[{"code":"3255918","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated #207.640","code_information":[{"code":"3251365","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated 4.0 28mm Long Thread","code_information":[{"code":"3252024","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated 4.0x34mm #207.634","code_information":[{"code":"3251228","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated Ti 4.0 X 34mm","code_information":[{"code":"3252137","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Screw/cannulated Ti 4.0 X 42mm","code_information":[{"code":"3252136","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":867,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":317},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Rast Food Panel Ii Igg Mayo","code_information":[{"code":"4017861","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":865,"gross_charge":832,"discounted_cash":624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":316},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":584},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"Commercial","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":316},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316}]}]},{"description":"Oseltamivir 6 Mg / Ml *Compd*susp*(75ml)","code_information":[{"code":"4078350","type":"CDM"},{"code":"250","type":"RC"},{"code":"52745","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":864,"gross_charge":831,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":316},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"Commercial","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":316},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Cath/midline Power Glide St","code_information":[{"code":"3252059","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1751","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":864,"gross_charge":831,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":316},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"Commercial","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":316},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316}]}]},{"description":"Intra-abdominal Voiding Pres (Ap) Tech","code_information":[{"code":"710096","type":"CDM"},{"code":"510","type":"RC"},{"code":"51797","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":863,"gross_charge":830,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":315},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":583},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Vascular Endothelial Growth Factor Mayo","code_information":[{"code":"4015074","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":863,"gross_charge":830,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":315},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":583},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Ct Limited Follow Up","code_information":[{"code":"4050002","type":"CDM"},{"code":"351","type":"RC"},{"code":"76380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":862,"gross_charge":829,"discounted_cash":622,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":315},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"Commercial","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":315},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Nm Tc99m Ultratag","code_information":[{"code":"4060328","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9560","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":861,"gross_charge":828,"discounted_cash":621,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":315},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":581},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"Commercial","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":315},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Screw/locking 10mm","code_information":[{"code":"3251173","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":859,"gross_charge":826,"discounted_cash":620,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":554},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":314},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":580},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"Chemo Sequential Infusion (Diff Drug)","code_information":[{"code":"3290100","type":"CDM"},{"code":"335","type":"RC"},{"code":"96417","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":858,"gross_charge":825,"discounted_cash":619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":314},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":579},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"Screw/locking 12mm","code_information":[{"code":"3251174","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":858,"gross_charge":825,"discounted_cash":619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":314},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":579},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"Screw/locking 5.0mmx46m #212.217","code_information":[{"code":"3258746","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":858,"gross_charge":825,"discounted_cash":619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":314},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":579},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"Nasal Bones 3 Views","code_information":[{"code":"4040116-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70160","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":313,"maximum":857,"gross_charge":824,"discounted_cash":618,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":313},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"United Healthcare","plan_name":"Commercial","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":313},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313}]}]},{"description":".Susceptibility Slow Grower","code_information":[{"code":"4017135","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":313,"maximum":856,"gross_charge":823,"discounted_cash":617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":313},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":578},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313}]}]},{"description":"Celiac Assoc Hla Typing Mayo","code_information":[{"code":"4016579","type":"CDM"},{"code":"300","type":"RC"},{"code":"81376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":313,"maximum":856,"gross_charge":823,"discounted_cash":617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":313},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":578},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313}]}]},{"description":"Screw/cannulated 4.5 X 34mm","code_information":[{"code":"3256380","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":855,"gross_charge":822,"discounted_cash":617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":312},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":577},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"Commercial","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":312},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Hemostat/absorbable 4x8  1952","code_information":[{"code":"3258969","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258969","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":854,"gross_charge":821,"discounted_cash":616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":312},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":576},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"Commercial","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":312},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Decitabine 50 Mg Vial","code_information":[{"code":"4077922","type":"CDM"},{"code":"636","type":"RC"},{"code":"55111055610","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":312,"maximum":2801,"gross_charge":821,"discounted_cash":616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":312},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":576},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Chemo By Intravenous Push Ea Addtl","code_information":[{"code":"3290116","type":"CDM"},{"code":"335","type":"RC"},{"code":"96411","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":853,"gross_charge":820,"discounted_cash":615,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":550},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":312},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":576},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Peg-threaded 24mm #Tp-24","code_information":[{"code":"3258621","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":852,"gross_charge":819,"discounted_cash":614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":575},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Commercial","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":311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311}]}]},{"description":"Screw/cannu-flex Silk 7mm #014200","code_information":[{"code":"3255468","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":852,"gross_charge":819,"discounted_cash":614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":575},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Commercial","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":311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311}]}]},{"description":"Peg-full Threaded 24mm #Fp-24","code_information":[{"code":"3258632","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":852,"gross_charge":819,"discounted_cash":614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":575},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Commercial","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":311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311}]}]},{"description":"Peg-threaded 28mm #Tp-28","code_information":[{"code":"3258634","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":852,"gross_charge":819,"discounted_cash":614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":575},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Commercial","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":311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311}]}]},{"description":"Recovery Room Charge 45-75","code_information":[{"code":"3220012","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":852,"gross_charge":819,"discounted_cash":614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":311},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":575},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Commercial","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":311},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311}]}]},{"description":"Suture Passer #1gsp02","code_information":[{"code":"3251182","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251182","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":310,"maximum":850,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":310},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":574},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310}]}]},{"description":"Stent/polaris 6x26 #192-133","code_information":[{"code":"3258847","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1876","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":847,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":309},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Commercial","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":309},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309}]}]},{"description":"Cv Elbow Left 3 Views (Mcr Tech)","code_information":[{"code":"1700208-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":309,"maximum":846,"gross_charge":813,"discounted_cash":610,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":309},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":571},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309}]}]},{"description":"Cv Elbow Right 3 Views (Mcr Tech)","code_information":[{"code":"1700209-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":309,"maximum":846,"gross_charge":813,"discounted_cash":610,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":309},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":571},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309}]}]},{"description":"Blade/curved Rad 40 #18-84006","code_information":[{"code":"3257556","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":307,"maximum":841,"gross_charge":809,"discounted_cash":607,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":307},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"United Healthcare","plan_name":"Commercial","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":307},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"Blade/xtreme Rad 60 #18-84016","code_information":[{"code":"3257557","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257557","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":307,"maximum":841,"gross_charge":809,"discounted_cash":607,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":307},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":568},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"United Healthcare","plan_name":"Commercial","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":307},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"Sternum Xray 2 Views","code_information":[{"code":"4040108","type":"CDM"},{"code":"320","type":"RC"},{"code":"71120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":307,"maximum":840,"gross_charge":808,"discounted_cash":606,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":307},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":567},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"United Healthcare","plan_name":"Commercial","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":307},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"Mastoids  Less Than 3 Views Per Side","code_information":[{"code":"4040113-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70120","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":307,"maximum":840,"gross_charge":808,"discounted_cash":606,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":307},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":567},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"United Healthcare","plan_name":"Commercial","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":307},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"Plate/lcp 1/3 Tubular 10hx117mm #241.401","code_information":[{"code":"3258789","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":306,"maximum":838,"gross_charge":806,"discounted_cash":605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":540},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":566},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306}]}]},{"description":"Bile Acids Fract Mayo","code_information":[{"code":"4012273","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":835,"gross_charge":803,"discounted_cash":602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":564},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305}]}]},{"description":"Chest With Obl","code_information":[{"code":"4040109-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71047","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":305,"maximum":835,"gross_charge":803,"discounted_cash":602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":564},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305}]}]},{"description":"Forearm Left 2 View","code_information":[{"code":"4040527-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":305,"maximum":834,"gross_charge":802,"discounted_cash":602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":563},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"United Healthcare","plan_name":"Commercial","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":305},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305}]}]},{"description":"Forearm Right 2 View","code_information":[{"code":"4040528-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":305,"maximum":834,"gross_charge":802,"discounted_cash":602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":538},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":563},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"United Healthcare","plan_name":"Commercial","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":305},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305}]}]},{"description":"T-handle Jamshidi Needle 11x4","code_information":[{"code":"3700219","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":831,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":304},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":561},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Commercial","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":304},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Zika Virus Pcr Mayo","code_information":[{"code":"4017896","type":"CDM"},{"code":"300","type":"RC"},{"code":"87662","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":831,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":304},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":561},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Commercial","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":304},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"25mm Io Needles","code_information":[{"code":"3259438","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":831,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":304},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":561},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Commercial","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":304},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Set/needle Ez-io 45mm 15ga","code_information":[{"code":"3259783","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":831,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":304},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":561},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Commercial","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":304},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Set/pedi Needle  15mm","code_information":[{"code":"3259439","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259439","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":831,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":304},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":561},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Commercial","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":304},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Carter-thomason Port Closure","code_information":[{"code":"3251020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":830,"gross_charge":798,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":303},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":560},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"United Healthcare","plan_name":"Commercial","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":303},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303}]}]},{"description":"Ins Non-tunnel Cntrl Ven  Cath >5yrs","code_information":[{"code":"4080242","type":"CDM"},{"code":"370","type":"RC"},{"code":"36556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":830,"gross_charge":798,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":303},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":560},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"United Healthcare","plan_name":"Commercial","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":303},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303}]}]},{"description":"Reload/blue For Ats 45","code_information":[{"code":"3259596","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259596","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":829,"gross_charge":797,"discounted_cash":598,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":303},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"United Healthcare","plan_name":"Commercial","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":303},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303}]}]},{"description":".Charge Thsd7a  Ab, S Mayo","code_information":[{"code":"4017792","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":828,"gross_charge":796,"discounted_cash":597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":534},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":".Interleukin 10 Serum Mayo","code_information":[{"code":"4016370","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":828,"gross_charge":796,"discounted_cash":597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":534},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Screw/locking  #202.248","code_information":[{"code":"3250893","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":827,"gross_charge":795,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":558},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Screw/locking 2.7 #202.250","code_information":[{"code":"3250451","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":827,"gross_charge":795,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":558},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Screw/locking 2.7 #202.255","code_information":[{"code":"3250450","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":827,"gross_charge":795,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":558},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Pulmonary Function Test W/o Brnchdilator","code_information":[{"code":"4170012","type":"CDM"},{"code":"460","type":"RC"},{"code":"94010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":826,"gross_charge":794,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Commercial","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":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Shoulder Left 2 Or More","code_information":[{"code":"4040559-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73030","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":302,"maximum":826,"gross_charge":794,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Commercial","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":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Shoulder Right 2 Or More","code_information":[{"code":"4040560-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73030","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":302,"maximum":826,"gross_charge":794,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":302},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Commercial","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":302},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Kit/falope Band Disp #006889-901","code_information":[{"code":"3251236","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":822,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":300},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":555},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Kit/cricothyrotomy Adlut 4.0mm","code_information":[{"code":"3253590","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253590","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":822,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":300},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":555},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Ribs Unilateral Left","code_information":[{"code":"4040555-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":300,"maximum":822,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":300},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":555},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Ribs Unilateral Right","code_information":[{"code":"4040556-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":300,"maximum":822,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":300},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":555},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Screw/ Varangle 2.4 26mm #02.210.126","code_information":[{"code":"3250105","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":821,"gross_charge":789,"discounted_cash":592,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":300},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Commercial","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":300},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Pulmonary Function Test W Brnchodialator","code_information":[{"code":"4170011","type":"CDM"},{"code":"460","type":"RC"},{"code":"94060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":818,"gross_charge":787,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":299},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Iv Infuse Hydration Initl 31-60min Clnic","code_information":[{"code":"3290406","type":"CDM"},{"code":"260","type":"RC"},{"code":"96360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":818,"gross_charge":787,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":299},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Inj Gland","code_information":[{"code":"4040407","type":"CDM"},{"code":"761","type":"RC"},{"code":"42550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":817,"gross_charge":786,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":299},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":552},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"United Healthcare","plan_name":"Commercial","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":299},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Midline Insertion Kit","code_information":[{"code":"3700787","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":817,"gross_charge":786,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":299},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":552},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"United Healthcare","plan_name":"Commercial","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":299},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":".Fish Mayo Hpv","code_information":[{"code":"4017029-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88364","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":299,"maximum":817,"gross_charge":786,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":299},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":552},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"United Healthcare","plan_name":"Commercial","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":299},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":".Ref Antibiotic Sensi Yeast Uvmc","code_information":[{"code":"4017177","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":298,"maximum":814,"gross_charge":783,"discounted_cash":587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":525},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":298},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":550},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298}]}]},{"description":"Leuprolide 7.5 Mg Syringe","code_information":[{"code":"4074396","type":"CDM"},{"code":"636","type":"RC"},{"code":"74364","type":"CPT","modifier":"203"}],"standard_charges":[{"setting":"outpatient","modifier_code":["203"],"minimum":297,"maximum":813,"gross_charge":782,"discounted_cash":587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":297},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":549},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":".Nras Rapid Pcr  Dhmc","code_information":[{"code":"4017667","type":"CDM"},{"code":"300","type":"RC"},{"code":"81311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":810,"gross_charge":779,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Cv Forearm Left 2 Views (Mcr Tech)","code_information":[{"code":"1700218-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":296,"maximum":810,"gross_charge":779,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Cv Forearm Right 2 Views (Mcr Tech)","code_information":[{"code":"1700219-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":296,"maximum":810,"gross_charge":779,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":547},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Ligaclip Endoclip Applier M/l","code_information":[{"code":"3258710","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Ascope 4 Cysto 5.4mm","code_information":[{"code":"3700665","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1748","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Screw Redapt 25mm","code_information":[{"code":"3700903","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Screw Redapt 30mm","code_information":[{"code":"3700655","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Screw Redapt 20mm","code_information":[{"code":"3700654","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Screw Redapt 40mm","code_information":[{"code":"3700656","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Screw Redapt 15mm","code_information":[{"code":"3700657","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":809,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":296},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Commercial","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":296},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Screw/ Locking 2.7 #02.211.030","code_information":[{"code":"3250706","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":808,"gross_charge":777,"discounted_cash":583,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":545},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"Commercial","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":295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Screw/ Locking 2.7va #02.211.010","code_information":[{"code":"3250980","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":808,"gross_charge":777,"discounted_cash":583,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":545},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"Commercial","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":295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Screw/ Locking 2.7x36mm","code_information":[{"code":"3251955","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":808,"gross_charge":777,"discounted_cash":583,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":545},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"Commercial","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":295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Screw/ Locking 2.7x60mm","code_information":[{"code":"3251954","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":808,"gross_charge":777,"discounted_cash":583,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":545},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"Commercial","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":295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Tray/5fr Picc Dual #9255108d","code_information":[{"code":"3250396","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":807,"gross_charge":776,"discounted_cash":582,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":295},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":545},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Metaneb Circuit","code_information":[{"code":"3700627","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":294,"maximum":804,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":294},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294}]}]},{"description":"Stool Pathogen Panel Pcr Mayo","code_information":[{"code":"4018005","type":"CDM"},{"code":"300","type":"RC"},{"code":"87329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":294,"maximum":804,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":294},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294}]}]},{"description":"Flexi-seal Fms Kit #411100","code_information":[{"code":"3259484","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":294,"maximum":804,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":294},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294}]}]},{"description":"Modified Ba Swallow","code_information":[{"code":"4040154-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74230","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":294,"maximum":804,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":294},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":543},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294}]}]},{"description":"Cv Shoulder Left 2 Views (Mcr Tech)","code_information":[{"code":"1700236-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73030","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":293,"maximum":802,"gross_charge":771,"discounted_cash":578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":293},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":541},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Cv Shoulder Right 2 Views (Mcr Tech)","code_information":[{"code":"1700237-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73030","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":293,"maximum":802,"gross_charge":771,"discounted_cash":578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":293},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":541},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Screw/conical 5.0x55mm","code_information":[{"code":"3252023","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":800,"gross_charge":769,"discounted_cash":577,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":515},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":292},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":540},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"United Healthcare","plan_name":"Commercial","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":292},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292}]}]},{"description":"Kit/bone Prep Total Hip","code_information":[{"code":"3254903","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":799,"gross_charge":768,"discounted_cash":576,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":515},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":292},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":539},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"Commercial","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":292},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292}]}]},{"description":"Screw/locking 5.0/40mm #458.940","code_information":[{"code":"3259964","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":798,"gross_charge":767,"discounted_cash":575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":291},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw/locking 5.0","code_information":[{"code":"3251914","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":798,"gross_charge":767,"discounted_cash":575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":291},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw/locking 5.0 48mm","code_information":[{"code":"3251948","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":797,"gross_charge":766,"discounted_cash":575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":291},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw/cannulated 4.5x22mm #214.522","code_information":[{"code":"3257408","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":797,"gross_charge":766,"discounted_cash":575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":291},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Level Iii-intermediate","code_information":[{"code":"3230203","type":"CDM"},{"code":"450","type":"RC"},{"code":"99283","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":290,"maximum":795,"gross_charge":764,"discounted_cash":573,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Level Iii-intermediate Mod 25","code_information":[{"code":"3230223-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99283","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":290,"maximum":795,"gross_charge":764,"discounted_cash":573,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Wrist Left 1 View","code_information":[{"code":"4040569-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":290,"maximum":794,"gross_charge":763,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Commercial","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":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Wrist Right 1 View","code_information":[{"code":"4040570-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":290,"maximum":794,"gross_charge":763,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Commercial","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":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Wrist Left 2 View","code_information":[{"code":"4040571-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":290,"maximum":794,"gross_charge":763,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Commercial","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":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Wrist Right 2 View","code_information":[{"code":"4040572-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":290,"maximum":794,"gross_charge":763,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":536},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Commercial","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":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":".Meconium Dau 9 Panel Nms","code_information":[{"code":"4016506","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":290,"maximum":792,"gross_charge":762,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":511},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":535},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Peg-full Threaded 26mm #Fp-26","code_information":[{"code":"3251681","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Peg-full Threaded 28mm #Fp-28","code_information":[{"code":"3251120","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Peg-smooth 24mm #P-24","code_information":[{"code":"3258602","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Peg-smooth 26mm #P-26","code_information":[{"code":"3259377","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Screw/canc 2.5x16mm #Sp-16","code_information":[{"code":"3251821","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Screw/canc 2.5x24mm #Sp-24","code_information":[{"code":"3251682","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Screw/canc 2.5x26mm #Sp-26","code_information":[{"code":"3259108","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Device/talon Grasping #Bx00711175","code_information":[{"code":"3250436","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Insert Picc Wo Prt Pump Under 5yrs Old","code_information":[{"code":"4040317","type":"CDM"},{"code":"361","type":"RC"},{"code":"36568","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":289,"maximum":791,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":289},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":534},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Commercial","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":289},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Bit Drill 2.7mm","code_information":[{"code":"3251175","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":287,"maximum":786,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":287},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"United Healthcare","plan_name":"Commercial","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":287},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287}]}]},{"description":"Us Ext Left Lower W Doppler","code_information":[{"code":"4060229-TC","type":"CDM"},{"code":"921","type":"RC"},{"code":"93971","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":287,"maximum":786,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":287},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"United Healthcare","plan_name":"Commercial","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":287},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287}]}]},{"description":"Us Ext Left Upper W Doppler","code_information":[{"code":"4060254-TC","type":"CDM"},{"code":"921","type":"RC"},{"code":"93971","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":287,"maximum":786,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":287},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"United Healthcare","plan_name":"Commercial","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":287},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287}]}]},{"description":"Us Ext Right Lower W Doppler","code_information":[{"code":"4060230-TC","type":"CDM"},{"code":"921","type":"RC"},{"code":"93971","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":287,"maximum":786,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":287},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"United Healthcare","plan_name":"Commercial","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":287},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287}]}]},{"description":"Us Ext Right Upper W Doppler","code_information":[{"code":"4060253-TC","type":"CDM"},{"code":"921","type":"RC"},{"code":"93971","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":287,"maximum":786,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":287},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":531},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"United Healthcare","plan_name":"Commercial","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":287},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287}]}]},{"description":"Budesonide / Formoterol 160 / 4.5 Mcg","code_information":[{"code":"4079173","type":"CDM"},{"code":"250","type":"RC"},{"code":"18603","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":287,"maximum":784,"gross_charge":754,"discounted_cash":566,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":505},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":287},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Commercial","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":287},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287}]}],"drug_information":{"unit":45,"type":"ME"}},{"description":"Rast Nut And Grain Panel Igg Mayo","code_information":[{"code":"4017859","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":783,"gross_charge":753,"discounted_cash":565,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":286},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Commercial","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":286},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286}]}]},{"description":"Abd Series Cxr  Inc Supine Erect","code_information":[{"code":"4040085-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74022","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":286,"maximum":783,"gross_charge":753,"discounted_cash":565,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":286},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Commercial","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":286},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286}]}]},{"description":"Mr Brain Wo Reduced 3 9 Sequence","code_information":[{"code":"4181205-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":286,"maximum":783,"gross_charge":753,"discounted_cash":565,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":286},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Commercial","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":286},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286}]}]},{"description":"Mixer/vortex Cement #7127-0070","code_information":[{"code":"3258663","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258663","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":782,"gross_charge":752,"discounted_cash":564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":504},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":286},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286}]}]},{"description":"Screw/locking 3.5x18mm #212.105","code_information":[{"code":"3258456","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw/ Locking 2.7 #02.211.026","code_information":[{"code":"3250704","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw/ Locking 2.7 #02.211.028","code_information":[{"code":"3250705","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw/ Locking 2.7va #02.211.022","code_information":[{"code":"3250981","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Jak2 Mutation V617f Blood Mayo","code_information":[{"code":"4012265","type":"CDM"},{"code":"300","type":"RC"},{"code":"81270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Jak2 Exon 12 Mutation  Blood Mayo","code_information":[{"code":"4017976","type":"CDM"},{"code":"300","type":"RC"},{"code":"0027U","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Jak2 V617f W/reflex To Calr And Mpl Mayo","code_information":[{"code":"4017975","type":"CDM"},{"code":"300","type":"RC"},{"code":"81270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Carmustine 100 Mg Vial","code_information":[{"code":"4070202","type":"CDM"},{"code":"636","type":"RC"},{"code":"23155026141","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":285,"maximum":2801,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Mr Brain Wo 2 6 Sequence","code_information":[{"code":"4181216-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Clavicle Left","code_information":[{"code":"4040507-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Clavicle Right","code_information":[{"code":"4040508-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":285,"maximum":781,"gross_charge":751,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","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":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw Locking 2.7x16mm","code_information":[{"code":"3250417","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":780,"gross_charge":750,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw/ Locking 2.7 02.211.014","code_information":[{"code":"3250555","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":780,"gross_charge":750,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw Locking 2.7x18mm","code_information":[{"code":"3250416","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":780,"gross_charge":750,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Screw Va Lckng St 2.7x46mm","code_information":[{"code":"3700354","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":780,"gross_charge":750,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Darbepoetin 25 Mcg / 0.42 Ml (Ns)","code_information":[{"code":"4078143","type":"CDM"},{"code":"636","type":"RC"},{"code":"55513005704","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":285,"maximum":2801,"gross_charge":750,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":527},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":".Flow Cytometry Interp 16+ Markers","code_information":[{"code":"4010328","type":"CDM"},{"code":"300","type":"RC"},{"code":"88189","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":779,"gross_charge":749,"discounted_cash":562,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":502},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":285},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":526},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Endoscopy2 Nurse 0-30","code_information":[{"code":"3280211","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":778,"gross_charge":748,"discounted_cash":561,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"United Healthcare","plan_name":"Commercial","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":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Screw/locking 5.0 #04.005.548","code_information":[{"code":"3251244","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":778,"gross_charge":748,"discounted_cash":561,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"United Healthcare","plan_name":"Commercial","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":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Drill Bit 3 Fluted 4.5x195mm 315.48","code_information":[{"code":"3700469","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700469","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":777,"gross_charge":747,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Drill Bit 2.0x140mm 323.062","code_information":[{"code":"3259558","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259558","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":777,"gross_charge":747,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Drill Bit 3 Fluted 3.2 X195 M","code_information":[{"code":"3700471","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700471","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":777,"gross_charge":747,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":".Hcv Ab Cadaver Hemolyzed Mayo","code_information":[{"code":"4017190","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":777,"gross_charge":747,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Cystogram","code_information":[{"code":"4040310-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74430","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":284,"maximum":777,"gross_charge":747,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":284},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Screw/locking Va 1.5 10mm #02.130.210","code_information":[{"code":"3251780","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":776,"gross_charge":746,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":500},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":283},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Commercial","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":283},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Screw/locking Va 1.5 12mm #02.130.212","code_information":[{"code":"3251778","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":776,"gross_charge":746,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":500},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":283},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Commercial","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":283},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Screw/locking Va 1.5 14mm #02.130.214","code_information":[{"code":"3251777","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":776,"gross_charge":746,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":500},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":283},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":524},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Commercial","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":283},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Drill Bit 4.5mm 315.480","code_information":[{"code":"3700452","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700452","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":775,"gross_charge":745,"discounted_cash":559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":499},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":283},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":523},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Commercial","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":283},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Implant/biostinger 13mm #C8213","code_information":[{"code":"3257545","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":775,"gross_charge":745,"discounted_cash":559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":499},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":283},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":523},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Commercial","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":283},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Gastrostomy 1.5 Hrs","code_information":[{"code":"3280056","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":773,"gross_charge":743,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":522},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"United Healthcare","plan_name":"Commercial","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":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Hereditary Hemochromatosis Hfe Var Mayo","code_information":[{"code":"4016051","type":"CDM"},{"code":"310","type":"RC"},{"code":"81256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":773,"gross_charge":743,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":522},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"United Healthcare","plan_name":"Commercial","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":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Varicella Vaccine","code_information":[{"code":"4077902","type":"CDM"},{"code":"250","type":"RC"},{"code":"64827","type":"CPT","modifier":"0"}],"standard_charges":[{"setting":"outpatient","modifier_code":["0"],"minimum":282,"maximum":773,"gross_charge":743,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":522},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"United Healthcare","plan_name":"Commercial","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":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Iv Infuse Hydration Initl 31-60min Er","code_information":[{"code":"3230406","type":"CDM"},{"code":"450","type":"RC"},{"code":"96360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":772,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Trach Tube Neonatal Cuffless 3.5mm","code_information":[{"code":"3700338","type":"CDM"},{"code":"272","type":"RC"},{"code":"A7520","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":772,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Trach Tube Neonatal Cuffless 4.0mm","code_information":[{"code":"3700337","type":"CDM"},{"code":"272","type":"RC"},{"code":"A7520","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":772,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Iv Infuse Hydration Initl 31-60min Er 59","code_information":[{"code":"3231336-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96360","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":282,"maximum":772,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Small Bowel Follow Thru","code_information":[{"code":"4040161-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74248","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":282,"maximum":772,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":".Each Addt'l Marker Mayo","code_information":[{"code":"4017037-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":282,"maximum":772,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Cv Wrist Left 2 Views (Mcr Tech)","code_information":[{"code":"1700244-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":282,"maximum":771,"gross_charge":741,"discounted_cash":556,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Commercial","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":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Cv Wrist Right 2 Views (Mcr Tech)","code_information":[{"code":"1700245-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":282,"maximum":771,"gross_charge":741,"discounted_cash":556,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":520},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Commercial","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":282},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Drill Bit 3.2mm X145mm   03.010.103","code_information":[{"code":"3250188","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":770,"gross_charge":740,"discounted_cash":555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":519},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Commercial","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":281},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Screw/bone 6.5mmx30mm #1217-30-500","code_information":[{"code":"3251317","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":770,"gross_charge":740,"discounted_cash":555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":519},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Commercial","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":281},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Screw/cancellous Bone #1217-35-500","code_information":[{"code":"3251052","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":770,"gross_charge":740,"discounted_cash":555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":519},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Commercial","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":281},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Destruct Facet Jnt Nrv,cerv/thor Sngl","code_information":[{"code":"4080327","type":"CDM"},{"code":"370","type":"RC"},{"code":"64633","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":770,"gross_charge":740,"discounted_cash":555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":519},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Commercial","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":281},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Forcep/platinum Grasping 220cm #039615","code_information":[{"code":"3250719","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250719","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":765,"gross_charge":736,"discounted_cash":552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":493},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":517},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Commercial","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":280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Drill Bit Evos 2.5mm Qc Short","code_information":[{"code":"3700570","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700570","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":765,"gross_charge":736,"discounted_cash":552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":493},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":517},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Commercial","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":280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Nm Tc99m Maa","code_information":[{"code":"4060332","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9540","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":765,"gross_charge":736,"discounted_cash":552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":493},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":517},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Commercial","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":280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Drill Bit Evos 2.0mm Qc Short","code_information":[{"code":"3700587","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":765,"gross_charge":736,"discounted_cash":552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":493},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":280},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":517},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Commercial","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":280},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Set Up Charge","code_information":[{"code":"4080202","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":279,"maximum":762,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":279},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":515},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"United Healthcare","plan_name":"Commercial","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":279},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279}]}]},{"description":"Injection Intravenous Push Er","code_information":[{"code":"3230465","type":"CDM"},{"code":"450","type":"RC"},{"code":"96374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":279,"maximum":762,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":279},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":515},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"United Healthcare","plan_name":"Commercial","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":279},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279}]}]},{"description":"Injection Intravenous Push Clinic","code_information":[{"code":"3290106","type":"CDM"},{"code":"260","type":"RC"},{"code":"96374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":279,"maximum":762,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":279},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":515},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"United Healthcare","plan_name":"Commercial","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":279},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279}]}]},{"description":"Injection Intravenous Push Er 59 Mod","code_information":[{"code":"3231344-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96374","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":279,"maximum":762,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":279},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":515},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"United Healthcare","plan_name":"Commercial","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":279},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279}]}]},{"description":"Fluoro Guided Needle Placement","code_information":[{"code":"4040306","type":"CDM"},{"code":"320","type":"RC"},{"code":"77002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":278,"maximum":760,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":490},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":278},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278}]}]},{"description":"Insrt Intravascular Vena Cava Filter Fac","code_information":[{"code":"4040467","type":"CDM"},{"code":"761","type":"RC"},{"code":"37191","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":278,"maximum":760,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":490},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":278},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278}]}]},{"description":"Fluoro Guided Needle Placement","code_information":[{"code":"4040313-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77002","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":278,"maximum":760,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":490},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":278},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278}]}]},{"description":"Toe Left 3 View","code_information":[{"code":"4040565-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":278,"maximum":760,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":490},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":278},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278}]}]},{"description":"Toe Right 3 View","code_information":[{"code":"4040566-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":278,"maximum":760,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":490},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":278},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":513},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278}]}]},{"description":"Screw/cannulated 4.5 42mm #214.742","code_information":[{"code":"3256812","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":759,"gross_charge":730,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":489},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Cv Clavicle Left 2 Views (Mcr Tech)","code_information":[{"code":"1700204-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73000","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":277,"maximum":758,"gross_charge":729,"discounted_cash":547,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":489},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":512},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Cv Clavicle Right 2 Views (Mcr Tech)","code_information":[{"code":"1700205-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73000","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":277,"maximum":758,"gross_charge":729,"discounted_cash":547,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":489},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":512},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Screw Locking Ti 5.0 Stardrive 72mm","code_information":[{"code":"3700488","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":757,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":511},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Screw Locking Ti 5.0 Stardrive 74mm","code_information":[{"code":"3700487","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":757,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":511},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Fish And Shellfish Panel Igg Mayo","code_information":[{"code":"4017803","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":757,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":511},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Gadoxetate Disodium Soln","code_information":[{"code":"4070081","type":"CDM"},{"code":"250","type":"RC"},{"code":"50419032005","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":277,"maximum":2801,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":511},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Iv Infuse Hydr Init 31-60min Clnic 59mod","code_information":[{"code":"3290413-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96360","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":277,"maximum":757,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":277},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":511},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":277},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Screw/locking 5.0mmx16m #212.202","code_information":[{"code":"3258731","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":756,"gross_charge":727,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":487},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Commercial","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":276},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Kii Balloon Blunt Tip 12x100 Cor47","code_information":[{"code":"3250745","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":755,"gross_charge":726,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":487},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Commercial","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":276},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Endoscopy1 Nurse 0-60","code_information":[{"code":"3280201","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":755,"gross_charge":726,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":487},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Commercial","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":276},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Endoscopy1 Nurse 0-30","code_information":[{"code":"3280200","type":"CDM"},{"code":"750","type":"RC"},{"code":"CP3280200","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":755,"gross_charge":726,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":487},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Commercial","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":276},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Blade Oscillating Crescentic Micro","code_information":[{"code":"3250679","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":755,"gross_charge":726,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":487},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Commercial","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":276},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Adv/fix Thread 12x100 Trocar Cff73","code_information":[{"code":"3250852","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250852","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":755,"gross_charge":726,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":487},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Commercial","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":276},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Femur Left 2 View","code_information":[{"code":"4040515-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":275,"maximum":752,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":485},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":275},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":508},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275}]}]},{"description":"Femur Right 2 View","code_information":[{"code":"4040516-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":275,"maximum":752,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":485},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":275},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":508},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275}]}]},{"description":"Screw/locking 3.5mmx40mm #212.117","code_information":[{"code":"3258772","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":751,"gross_charge":722,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":274},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Commercial","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":274},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274}]}]},{"description":"Screw/locking 3.5mmx32mm #212.112","code_information":[{"code":"3258768","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":751,"gross_charge":722,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":274},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Commercial","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":274},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274}]}]},{"description":"Cmv Dna Det & Quant By Pcr   Mayo","code_information":[{"code":"4016666","type":"CDM"},{"code":"300","type":"RC"},{"code":"87497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":751,"gross_charge":722,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":274},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Commercial","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":274},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274}]}]},{"description":"Introduction Of Long Gastrointest Tube","code_information":[{"code":"4040450","type":"CDM"},{"code":"761","type":"RC"},{"code":"44500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":749,"gross_charge":720,"discounted_cash":540,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":274},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":505},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"United Healthcare","plan_name":"Commercial","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":274},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274}]}]},{"description":"Elbow Complete Minimum Of 3 Views","code_information":[{"code":"4040184-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":272,"maximum":746,"gross_charge":717,"discounted_cash":538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":481},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":272},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"Commercial","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":272},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Fluoro Asp Inj Of Major Joint Bursa","code_information":[{"code":"4040452","type":"CDM"},{"code":"761","type":"RC"},{"code":"20610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":272,"maximum":745,"gross_charge":716,"discounted_cash":537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":480},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":272},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Commercial","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":272},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Fluoro Asp  Inj Intermed Joint Bursa Fac","code_information":[{"code":"4040451","type":"CDM"},{"code":"761","type":"RC"},{"code":"20605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":272,"maximum":745,"gross_charge":716,"discounted_cash":537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":480},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":272},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Commercial","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":272},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Fluoro Asp Inj Of Small Joint Fac","code_information":[{"code":"4040446","type":"CDM"},{"code":"761","type":"RC"},{"code":"20600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":272,"maximum":745,"gross_charge":716,"discounted_cash":537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":480},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":272},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Commercial","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":272},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Rast Fruit Panel Igg Mayo","code_information":[{"code":"4017860","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":272,"maximum":745,"gross_charge":716,"discounted_cash":537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":480},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":272},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Commercial","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":272},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Hysterosalpingography","code_information":[{"code":"4040120-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74740","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":272,"maximum":745,"gross_charge":716,"discounted_cash":537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":480},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":272},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":503},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Commercial","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":272},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Critical Care Each Add'l 30 Min","code_information":[{"code":"3230207","type":"CDM"},{"code":"450","type":"RC"},{"code":"99292","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":742,"gross_charge":713,"discounted_cash":535,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":478},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":501},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Commercial","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":271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Critical Care Each Add'l 30 Min Mod 25","code_information":[{"code":"3230227-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99292","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":271,"maximum":742,"gross_charge":713,"discounted_cash":535,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":478},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":501},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Commercial","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":271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Swallowing/oral Function Evaluation Iv","code_information":[{"code":"4380033-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92610","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":271,"maximum":742,"gross_charge":713,"discounted_cash":535,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":478},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":501},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Commercial","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":271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Ct Abscess Peritoneal","code_information":[{"code":"4050228","type":"CDM"},{"code":"761","type":"RC"},{"code":"49020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":740,"gross_charge":712,"discounted_cash":534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Commercial","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":271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Us Abscess Peritoneal","code_information":[{"code":"4060237","type":"CDM"},{"code":"761","type":"RC"},{"code":"49020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":740,"gross_charge":712,"discounted_cash":534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Commercial","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":271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Hmg-coa Reductase Mayo","code_information":[{"code":"4017670","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":740,"gross_charge":712,"discounted_cash":534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":271},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Commercial","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":271},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Cath And Intro Of Saline Or Cntrst Mat","code_information":[{"code":"4040401","type":"CDM"},{"code":"761","type":"RC"},{"code":"58340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":739,"gross_charge":711,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"Commercial","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":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"2.7mm Short Drill Bit S/n","code_information":[{"code":"3700222","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":739,"gross_charge":711,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"Commercial","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":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Tc-99m Labeled Red Blood Cells","code_information":[{"code":"4070121","type":"CDM"},{"code":"250","type":"RC"},{"code":"A9560","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":739,"gross_charge":711,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":477},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"Commercial","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":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Outrigger Post #390.011","code_information":[{"code":"3251508","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":738,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":498},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Connector Angled","code_information":[{"code":"3251582","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":738,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":498},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Aquilex Fluid Control Inflow Tubing","code_information":[{"code":"3700081","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":738,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":498},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Cv Toes Left 2 Views (Mcr Tech)","code_information":[{"code":"1700242-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":270,"maximum":738,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":498},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Cv Toes Right 2 Views (Mcr Tech)","code_information":[{"code":"1700243-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":270,"maximum":738,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":476},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":270},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":498},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Mammography of both breasts","code_information":[{"code":"4040222-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77066","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":269,"maximum":737,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":498},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mmx10mm #212.101","code_information":[{"code":"3258757","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mm #212.118","code_information":[{"code":"3250771","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5 #212.122","code_information":[{"code":"3251927","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5 #212.134","code_information":[{"code":"3251926","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mm","code_information":[{"code":"3251902","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mm","code_information":[{"code":"3251903","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mmx46mm #212.136","code_information":[{"code":"3251606","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mmx55mm #212.123","code_information":[{"code":"3258777","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5mmx60mm #212.124","code_information":[{"code":"3258778","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Screw/locking 3.5x90mm #212.130","code_information":[{"code":"3251664","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Infliximab Quant W Reflex To Ab Mayo","code_information":[{"code":"4017012","type":"CDM"},{"code":"300","type":"RC"},{"code":"80230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":735,"gross_charge":707,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":269},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":269},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Marker/reflective Passive Spheres","code_information":[{"code":"3259044","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":268,"maximum":734,"gross_charge":706,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":473},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":"Shoulder Left 1 View","code_information":[{"code":"4040561-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73020","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":268,"maximum":734,"gross_charge":706,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":473},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":"Shoulder Right 1 View","code_information":[{"code":"4040562-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73020","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":268,"maximum":734,"gross_charge":706,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":473},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":268},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":496},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Commercial","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":268},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":"Pin/locking 1.8  #02.210.092","code_information":[{"code":"3251465","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Pin/locking 1.8  #02.210.094","code_information":[{"code":"3251466","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Screw/ Locking 2.4 #02.210.124","code_information":[{"code":"3251464","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Screw/ Varangle 2.4 #02.210.112","code_information":[{"code":"3251450","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Screw/ Varangle 2.4 14mm #02.210.114","code_information":[{"code":"3250097","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Screw/ Varangle 2.4 16mm #02.210.116","code_information":[{"code":"3250098","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Screw/ Varangle 2.4 18mm #02.210.118","code_information":[{"code":"3250106","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Fingers Left 3 View","code_information":[{"code":"4040519-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Fingers Right 3 View","code_information":[{"code":"4040520-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":267,"maximum":730,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":267},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":493},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Moderate Sedation Othr Md 15 Min<5","code_information":[{"code":"3239869","type":"CDM"},{"code":"370","type":"RC"},{"code":"99155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":728,"gross_charge":700,"discounted_cash":525,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":266},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":491},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Commercial","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":266},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266}]}]},{"description":".Ea Addl Marker 10","code_information":[{"code":"4016467","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":728,"gross_charge":700,"discounted_cash":525,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":266},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":491},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Commercial","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":266},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266}]}]},{"description":".Frozen Section","code_information":[{"code":"4010410-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88331","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":266,"maximum":728,"gross_charge":700,"discounted_cash":525,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":469},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":266},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":491},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Commercial","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":266},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266}]}]},{"description":"Schanz Screw 4.5mmx150mm Ref 310.48","code_information":[{"code":"3700090","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":726,"gross_charge":698,"discounted_cash":524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":468},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":265},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Blade Spiral Lock","code_information":[{"code":"3251247","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":725,"gross_charge":697,"discounted_cash":523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":265},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":489},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Commercial","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":265},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Drug Test 15-21 Drug Classes","code_information":[{"code":"4012320","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0482","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":724,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":489},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Tip/drill Passing Pin #014508","code_information":[{"code":"3250846","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250846","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":724,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":489},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Drill Bit 2.0mm Short W/ Ao Qc","code_information":[{"code":"3700485","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700485","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":724,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":489},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Drill Bit Evos 2.0mm W/ao Qc Short","code_information":[{"code":"3700785","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700785","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":724,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":489},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"C Arm Less Than 1 Hr","code_information":[{"code":"4040217-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":264,"maximum":723,"gross_charge":695,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":488},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Mini C Arm < 1hr","code_information":[{"code":"4040215-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":264,"maximum":723,"gross_charge":695,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":488},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":".Charge Uvmc Chrom Cult Tissue","code_information":[{"code":"4010314","type":"CDM"},{"code":"300","type":"RC"},{"code":"88233","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":722,"gross_charge":694,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":".Adalimummad Ab Mayo","code_information":[{"code":"4017609","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":722,"gross_charge":694,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Pelvis 1 Or 2 Views","code_information":[{"code":"4040173-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72170","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":264,"maximum":722,"gross_charge":694,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":264},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":487},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"Commercial","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":264},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Salicylic Acid 27.5% Liquid","code_information":[{"code":"4070154","type":"CDM"},{"code":"250","type":"RC"},{"code":"42192013510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":263,"maximum":2801,"gross_charge":693,"discounted_cash":520,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":486},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Chemo Infus Prolonged Portable","code_information":[{"code":"3290117","type":"CDM"},{"code":"335","type":"RC"},{"code":"96416","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":720,"gross_charge":692,"discounted_cash":519,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"Commercial","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":263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263}]}]},{"description":"Aprepitant 130 Mg Vial","code_information":[{"code":"4070011","type":"CDM"},{"code":"636","type":"RC"},{"code":"47426020101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":263,"maximum":2801,"gross_charge":692,"discounted_cash":519,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263}]}],"drug_information":{"unit":130,"type":"ME"}},{"description":"Needle/elite Pass Shuttle #7210693","code_information":[{"code":"3259415","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":719,"gross_charge":691,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":463},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":263},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":485},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"Commercial","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":263},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263}]}]},{"description":"Vitrector/anterior W/tubing & Sleeve","code_information":[{"code":"3258826","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":718,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":463},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Screw/locking Va 2.7 #04.210.108","code_information":[{"code":"3251594","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Screw/locking Va 2.7 #04.210.110","code_information":[{"code":"3251595","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Screw/locking Va 2.7 #04.210.112","code_information":[{"code":"3251596","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Screw/locking Va 2.7 #04.210.114","code_information":[{"code":"3251597","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Drill Tip Passing Pin 2.7mmx15 #014485","code_information":[{"code":"3257269","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257269","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Screw/locking 5.0mmx24m #212.206","code_information":[{"code":"3258735","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Desflurane 240 Ml","code_information":[{"code":"4077833","type":"CDM"},{"code":"250","type":"RC"},{"code":"10019064434","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":262,"maximum":2801,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}],"drug_information":{"unit":240,"type":"ML"}},{"description":"Skull 1 3 Views","code_information":[{"code":"4040187-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70250","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":262,"maximum":717,"gross_charge":689,"discounted_cash":517,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":262},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":484},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Commercial","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":262},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Mitomycin 5 Mg Vial","code_information":[{"code":"4073314","type":"CDM"},{"code":"636","type":"RC"},{"code":"16729011505","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":261,"maximum":2801,"gross_charge":688,"discounted_cash":516,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":261},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":483},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Arthritic Survey","code_information":[{"code":"4040129","type":"CDM"},{"code":"320","type":"RC"},{"code":"77074","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":261,"maximum":713,"gross_charge":686,"discounted_cash":515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":460},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":261},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":482},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"Commercial","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":261},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261}]}]},{"description":"Bone Survey Limit","code_information":[{"code":"4040204","type":"CDM"},{"code":"320","type":"RC"},{"code":"77074","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":261,"maximum":713,"gross_charge":686,"discounted_cash":515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":460},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":261},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":482},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"Commercial","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":261},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261}]}]},{"description":"Reload For Tcr10 Stapler  #Tcr10","code_information":[{"code":"3259613","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":260,"maximum":712,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":260},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":481},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Commercial","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":260},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Tc-99m Filtered Sulfur Colloid Subcut","code_information":[{"code":"4070130","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":260,"maximum":712,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":260},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":481},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Commercial","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":260},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cv Shoulder Left 1 View (Mcr Tech)","code_information":[{"code":"1700238-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73020","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":260,"maximum":712,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":260},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":481},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Commercial","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":260},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Cv Shoulder Right 1 View (Mcr Tech)","code_information":[{"code":"1700239-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73020","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":260,"maximum":712,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":260},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":481},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Commercial","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":260},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Bone Age Study","code_information":[{"code":"4040198-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77072","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":260,"maximum":712,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":260},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":481},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Commercial","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":260},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Mr Spine Cerv Wo 1 4 Sequence","code_information":[{"code":"4181210-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"72141","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":259,"maximum":709,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":259},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":479},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Commercial","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":259},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259}]}]},{"description":"Pad/adult (Aed Plus)#8900-0800-01","code_information":[{"code":"3259529","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259529","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":709,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":259},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":479},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Commercial","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":259},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259}]}]},{"description":"Dengue Virus Ab Igg Igm Mayo","code_information":[{"code":"4016109","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":708,"gross_charge":681,"discounted_cash":511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":259},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":478},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"Commercial","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":259},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259}]}]},{"description":"Trocar/blunt Tip 12mm #Oms-t12bt","code_information":[{"code":"3258088","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":707,"gross_charge":680,"discounted_cash":510,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":456},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":477},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Cv Finger Left 3 Views (Mcr Tech)","code_information":[{"code":"1700212-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":258,"maximum":707,"gross_charge":680,"discounted_cash":510,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":456},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":477},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Cv Finger Right 3 Views (Mcr Tech)","code_information":[{"code":"1700213-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":258,"maximum":707,"gross_charge":680,"discounted_cash":510,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":456},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":477},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 2.7x14mm #202.214","code_information":[{"code":"3250253","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 2.7x18mm #202.218","code_information":[{"code":"3259565","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 2.7x20mm #202.220","code_information":[{"code":"3259564","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 2.7x10mm 202.210","code_information":[{"code":"3250209","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 3.5mmx24mm #212.108","code_information":[{"code":"3258764","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 3.5mmx20mm #212.106","code_information":[{"code":"3258762","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 3.5mmx14mm #212.103","code_information":[{"code":"3258759","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Screw/locking 3.5mmx12mm #212.102","code_information":[{"code":"3258758","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Ribs Unilateral 2 Views","code_information":[{"code":"4040106-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":258,"maximum":705,"gross_charge":678,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":258},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":476},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Commercial","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":258},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Guidewire 2.5","code_information":[{"code":"3700040","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":704,"gross_charge":677,"discounted_cash":508,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"Commercial","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":257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Mandible 4 Views","code_information":[{"code":"4040112-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70110","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":257,"maximum":704,"gross_charge":677,"discounted_cash":508,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"Commercial","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":257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Screw/locking 5.0mmx26m #212.207","code_information":[{"code":"3258736","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":703,"gross_charge":676,"discounted_cash":507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":453},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":475},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Kit/inlet Closure Procedure #Cti512n","code_information":[{"code":"3257868","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257868","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":703,"gross_charge":676,"discounted_cash":507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":453},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":475},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Sling/sam Small 27 -47","code_information":[{"code":"3258905","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2580","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":702,"gross_charge":675,"discounted_cash":506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":257},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":474},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Screw/cannulated 4.0 50mm #207.750","code_information":[{"code":"3251356","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":701,"gross_charge":674,"discounted_cash":506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Commercial","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":256},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Cv Pelvis 1-2 Views (Mcr Tech)","code_information":[{"code":"1700139","type":"CDM"},{"code":"320","type":"RC"},{"code":"72170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":701,"gross_charge":674,"discounted_cash":506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Commercial","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":256},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Hep B Viral Dna Quant Pcr Mayo","code_information":[{"code":"4016640","type":"CDM"},{"code":"300","type":"RC"},{"code":"87517","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":701,"gross_charge":674,"discounted_cash":506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Commercial","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":256},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":".Covid19 Pcr Mayo","code_information":[{"code":"4017683","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":701,"gross_charge":674,"discounted_cash":506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Commercial","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":256},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Screw/headed 48mm #5791-041-00","code_information":[{"code":"3251267","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":700,"gross_charge":673,"discounted_cash":505,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":472},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Commercial","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":256},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Hydroxychloroquine Serum Mayo","code_information":[{"code":"4018013","type":"CDM"},{"code":"300","type":"RC"},{"code":"80220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":700,"gross_charge":673,"discounted_cash":505,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":451},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":472},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Commercial","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":256},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Sling/sam Large 36 -60","code_information":[{"code":"3258907","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258907","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":696,"gross_charge":669,"discounted_cash":502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":470},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7 #202.230","code_information":[{"code":"3251458","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7 #202.232","code_information":[{"code":"3259671","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7 #402.216","code_information":[{"code":"3251637","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7 #402.218","code_information":[{"code":"3251636","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7x24mm #202.224","code_information":[{"code":"3259563","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7x26mm  #202.226","code_information":[{"code":"3250449","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7x28mm #202.228","code_information":[{"code":"3251457","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 2.7x8mm 202.208","code_information":[{"code":"3250562","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Screw/locking 3.5mmx16mm #212.104","code_information":[{"code":"3258760","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Epstein Barr Virus Dna Detect Quant Mayo","code_information":[{"code":"4011936","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Hand Left 3 View","code_information":[{"code":"4040529-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73130","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Hand Right 3 View","code_information":[{"code":"4040530-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73130","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":254,"maximum":695,"gross_charge":668,"discounted_cash":501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":254},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":469},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Commercial","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":254},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Mesh/med Prefix Plug#0112760","code_information":[{"code":"3250373","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx45mm #212.119","code_information":[{"code":"3258775","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx36mm #212.115","code_information":[{"code":"3258770","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx34mm #212.113","code_information":[{"code":"3258769","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx26mm #212.109","code_information":[{"code":"3258765","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx28mm #212.110","code_information":[{"code":"3258766","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx30mm #212.111","code_information":[{"code":"3258767","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5mmx38mm #212.116","code_information":[{"code":"3258771","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw/locking 3.5x22mm #212.107","code_information":[{"code":"3258763","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Cv Femur Left 2 Views (Mcr Tech)","code_information":[{"code":"1700210-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Cv Femur Right 2 Views (Mcr Tech)","code_information":[{"code":"1700211-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":253,"maximum":693,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Filgrastim-aafi 300 Mcg Syringe","code_information":[{"code":"4070263","type":"CDM"},{"code":"636","type":"RC"},{"code":"69029","type":"CPT","modifier":"101"}],"standard_charges":[{"setting":"outpatient","modifier_code":["101"],"minimum":253,"maximum":692,"gross_charge":665,"discounted_cash":499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":446},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":253},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":467},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Commercial","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":253},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Electrode/hr-resection Lrg #A22258c","code_information":[{"code":"3258939","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258939","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":252,"maximum":691,"gross_charge":664,"discounted_cash":498,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":252},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":466},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Commercial","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":252},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252}]}]},{"description":"Us Aaa Screening","code_information":[{"code":"4060091-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76706","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":252,"maximum":691,"gross_charge":664,"discounted_cash":498,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":252},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":466},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Commercial","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":252},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252}]}]},{"description":"Burr/4 Mm Oval","code_information":[{"code":"3259250","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":252,"maximum":690,"gross_charge":663,"discounted_cash":497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":252},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"Commercial","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":252},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252}]}]},{"description":"Rho D Immune Globulin Iv 1500 Units","code_information":[{"code":"4077489","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206030010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":252,"maximum":2801,"gross_charge":663,"discounted_cash":497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":252},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252}]}],"drug_information":{"unit":1500,"type":"UN"}},{"description":"Nm Tc99m Dtpa","code_information":[{"code":"4060330","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9567","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":252,"maximum":688,"gross_charge":662,"discounted_cash":497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":252},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":465},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252}]}]},{"description":"Wire Olive 1.4mm","code_information":[{"code":"3701120","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":251,"maximum":687,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":443},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":251},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"United Healthcare","plan_name":"Commercial","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":251},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251}]}]},{"description":"Olive Wire Smooth, 1.3mm","code_information":[{"code":"3701121","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":251,"maximum":687,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":443},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":251},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"United Healthcare","plan_name":"Commercial","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":251},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251}]}]},{"description":"Tice Bcg Live  50 Mg","code_information":[{"code":"4078953","type":"CDM"},{"code":"636","type":"RC"},{"code":"52060","type":"CPT","modifier":"202"}],"standard_charges":[{"setting":"outpatient","modifier_code":["202"],"minimum":251,"maximum":686,"gross_charge":660,"discounted_cash":495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":251},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"United Healthcare","plan_name":"Commercial","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":251},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":".Bcr Abl1 #3","code_information":[{"code":"4016596","type":"CDM"},{"code":"300","type":"RC"},{"code":"81208","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":685,"gross_charge":659,"discounted_cash":494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":463},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"Commercial","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":250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Drain/chest System #3600-100","code_information":[{"code":"3253989","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253989","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":685,"gross_charge":659,"discounted_cash":494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":442},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":463},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"Commercial","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":250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":".Ref M Turberculosis Amp Mayo","code_information":[{"code":"4017836","type":"CDM"},{"code":"300","type":"RC"},{"code":"87556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":684,"gross_charge":658,"discounted_cash":494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":441},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":462},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"Commercial","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":250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Initiate Mech Vent Setup","code_information":[{"code":"4170007","type":"CDM"},{"code":"410","type":"RC"},{"code":"94002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":683,"gross_charge":657,"discounted_cash":493,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":250},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"Commercial","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":250},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Plate Evos 3.5mm 7h Tubular 82mm","code_information":[{"code":"3700876","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":682,"gross_charge":656,"discounted_cash":492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":249},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Interleukin 8 Serum Mayo","code_information":[{"code":"4015906","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":682,"gross_charge":656,"discounted_cash":492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":249},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Mammo Needle Location","code_information":[{"code":"2003006-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"19281","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":249,"maximum":682,"gross_charge":656,"discounted_cash":492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":249},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":".Charge Mayo Igh Gene Rearrangement Amp","code_information":[{"code":"4017156-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"81261","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":249,"maximum":682,"gross_charge":656,"discounted_cash":492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":440},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":249},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":461},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Blade Cutter Ultra Aggressive 4.0mm","code_information":[{"code":"3255065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":680,"gross_charge":654,"discounted_cash":491,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":438},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":249},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"United Healthcare","plan_name":"Commercial","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":249},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Blade Barrel Tornado Burr Plus 4.0mm","code_information":[{"code":"3255045","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":680,"gross_charge":654,"discounted_cash":491,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":438},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":249},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":459},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"United Healthcare","plan_name":"Commercial","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":249},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Drill Bit/quick Coupling 3.2mm 310.31","code_information":[{"code":"3700451","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700451","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":248,"maximum":679,"gross_charge":653,"discounted_cash":490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":438},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":248},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"Commercial","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":248},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"Mammography, screening, bilateral","code_information":[{"code":"4040218-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77067","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":248,"maximum":679,"gross_charge":653,"discounted_cash":490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":438},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":248},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"Commercial","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":248},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"Screw/locking 5.0mmx50m #212.219","code_information":[{"code":"3258748","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":248,"maximum":678,"gross_charge":652,"discounted_cash":489,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":437},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":248},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":458},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"Commercial","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":248},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"Radiologic Exam Osseus Survey Limited","code_information":[{"code":"8040204","type":"CDM"},{"code":"320","type":"RC"},{"code":"77074","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":677,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":436},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Screw/locking 5.0mmx34m","code_information":[{"code":"3258740","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":677,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":436},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Screw/locking 5.0mmx55m","code_information":[{"code":"3258749","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":677,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":436},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Screw/locking 5.0mmx65m #212.222","code_information":[{"code":"3258751","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":677,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":436},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Cmv Qual By Pcr Mayo","code_information":[{"code":"4011964","type":"CDM"},{"code":"300","type":"RC"},{"code":"87496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":677,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":436},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":457},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Koh Occluder #Cpo-6","code_information":[{"code":"3259538","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259538","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":675,"gross_charge":649,"discounted_cash":487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Inj  Anes Other Peripheral Nrv/brnch Mcr","code_information":[{"code":"710348","type":"CDM"},{"code":"510","type":"RC"},{"code":"64450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":675,"gross_charge":649,"discounted_cash":487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4016521","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":675,"gross_charge":649,"discounted_cash":487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Cv Hand Left 3 Views (Mcr Tech)","code_information":[{"code":"1700222-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73130","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":247,"maximum":675,"gross_charge":649,"discounted_cash":487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Cv Hand Right 3 Views (Mcr Tech)","code_information":[{"code":"1700223-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73130","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":247,"maximum":675,"gross_charge":649,"discounted_cash":487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":435},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":247},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Commercial","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":247},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Kii 5mm Long Trocar Cff01","code_information":[{"code":"3259972","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":674,"gross_charge":648,"discounted_cash":486,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":434},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":246},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Amino Acids Urine Mayo","code_information":[{"code":"4017659","type":"CDM"},{"code":"300","type":"RC"},{"code":"82139","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":674,"gross_charge":648,"discounted_cash":486,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":434},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":246},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Foot Left 2 View","code_information":[{"code":"4040523-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":246,"maximum":674,"gross_charge":648,"discounted_cash":486,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":434},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":246},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Foot Right 2 View","code_information":[{"code":"4040524-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":246,"maximum":674,"gross_charge":648,"discounted_cash":486,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":434},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":246},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":455},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Knee Left 3 View","code_information":[{"code":"4040547-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73562","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":245,"maximum":672,"gross_charge":646,"discounted_cash":485,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":433},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"Commercial","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":245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Knee Right 3 View","code_information":[{"code":"4040548-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73562","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":245,"maximum":672,"gross_charge":646,"discounted_cash":485,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":433},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"Commercial","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":245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Cath/multipurpose Drainge  8.5fr #G0950","code_information":[{"code":"3250473","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250473","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":671,"gross_charge":645,"discounted_cash":484,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":432},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":453},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Commercial","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":245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Colpo Entire Vag W/cervix W/bx Tech","code_information":[{"code":"711049","type":"CDM"},{"code":"510","type":"RC"},{"code":"57454","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":670,"gross_charge":644,"discounted_cash":483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Commercial","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":245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Drill Sleeve 3.5/5mm Short","code_information":[{"code":"3700542","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":670,"gross_charge":644,"discounted_cash":483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":245},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Commercial","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":245},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Kii Sleeve Adv Fix/thread Fios  Cff03","code_information":[{"code":"3250744","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250744","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":669,"gross_charge":643,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":431},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Commercial","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":244},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244}]}]},{"description":"Cystourethrscopy/rmv Fb Smpl Mcr Tech","code_information":[{"code":"710101","type":"CDM"},{"code":"510","type":"RC"},{"code":"52310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":669,"gross_charge":643,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":431},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Commercial","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":244},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244}]}]},{"description":"Vedolizumab Quant W/ Antibody Reflex","code_information":[{"code":"4017870","type":"CDM"},{"code":"300","type":"RC"},{"code":"80280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":668,"gross_charge":642,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":430},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244}]}]},{"description":"Esophogeal Dilation","code_information":[{"code":"4040307-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74360","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":244,"maximum":667,"gross_charge":641,"discounted_cash":481,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":430},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":450},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"Commercial","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":244},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244}]}]},{"description":"Drill Bit Calibrate 2.8 X 248mm","code_information":[{"code":"3700470","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700470","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":243,"maximum":666,"gross_charge":640,"discounted_cash":480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":429},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":243},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"United Healthcare","plan_name":"Commercial","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":243},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Hep C Virus Genotype Only Mayo","code_information":[{"code":"4016898","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":243,"maximum":666,"gross_charge":640,"discounted_cash":480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":429},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":243},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"United Healthcare","plan_name":"Commercial","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":243},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Aldosterone Serum Mayo","code_information":[{"code":"4010449","type":"CDM"},{"code":"300","type":"RC"},{"code":"82088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":243,"maximum":665,"gross_charge":639,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":428},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":243},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":449},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Catheter/urethral Dilation Balloon","code_information":[{"code":"3259429","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":664,"gross_charge":638,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":242},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":448},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Commercial","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":242},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Hantavirus Ab Igg  & Igm Mayo","code_information":[{"code":"4016073","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":664,"gross_charge":638,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":242},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":448},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Commercial","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":242},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Stent/percuflex 7x26 #175-273","code_information":[{"code":"3258878","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":241,"maximum":659,"gross_charge":634,"discounted_cash":476,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":425},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":241},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":445},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241}]}]},{"description":"Stent/percuflex Plus Ureteral 8x26","code_information":[{"code":"3250696","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":241,"maximum":658,"gross_charge":633,"discounted_cash":475,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":241},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"Commercial","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":241},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241}]}]},{"description":"Screw/locking 2.7 #202.242","code_information":[{"code":"3259669","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":240,"maximum":657,"gross_charge":632,"discounted_cash":474,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":424},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":444},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240}]}]},{"description":".Charge Cuture Chromo Analysis Mayo","code_information":[{"code":"4016957","type":"CDM"},{"code":"310","type":"RC"},{"code":"88230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":654,"gross_charge":629,"discounted_cash":472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":239},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Php Hospital Billing","code_information":[{"code":"4700022","type":"CDM"},{"code":"912","type":"RC"},{"code":"H0035","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":654,"gross_charge":629,"discounted_cash":472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":239},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Psych Therapy","code_information":[{"code":"4700026","type":"CDM"},{"code":"912","type":"RC"},{"code":"H0035","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":654,"gross_charge":629,"discounted_cash":472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":239},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Docetaxel 80 Mg Mdv","code_information":[{"code":"4076234","type":"CDM"},{"code":"636","type":"RC"},{"code":"16729026764","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":239,"maximum":2801,"gross_charge":629,"discounted_cash":472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":239},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Cv Foot Right 2 Views (Mcr Tech)","code_information":[{"code":"1700215-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":239,"maximum":654,"gross_charge":629,"discounted_cash":472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":239},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Sugammadex 100mg/ml 2ml Vial","code_information":[{"code":"4079130","type":"CDM"},{"code":"636","type":"RC"},{"code":"65423","type":"CPT","modifier":"12"}],"standard_charges":[{"setting":"outpatient","modifier_code":["12"],"minimum":238,"maximum":652,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":440},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":".Concerta Urine Mayo","code_information":[{"code":"4016593","type":"CDM"},{"code":"300","type":"RC"},{"code":"80360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":652,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":440},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Phosphatidylserine Ab Panel  Mayo","code_information":[{"code":"4016658","type":"CDM"},{"code":"300","type":"RC"},{"code":"86148","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":652,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":440},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Cv Knee Left 3 Views (Mcr Tech)","code_information":[{"code":"1700232-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73562","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":238,"maximum":652,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":440},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Cv Knee Right 3 Views (Mcr Tech)","code_information":[{"code":"1700233-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73562","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":238,"maximum":652,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":440},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Phospholipase A2 Receptor Ab Mayo","code_information":[{"code":"4017790","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":651,"gross_charge":626,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":".Charge Mayo Ttrb Gene Rearrange Amp","code_information":[{"code":"4016845","type":"CDM"},{"code":"300","type":"RC"},{"code":"81340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":651,"gross_charge":626,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":420},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Alteplase 2 Mg Inj","code_information":[{"code":"4077470","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242004164","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":238,"maximum":2801,"gross_charge":625,"discounted_cash":469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":419},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Nm I-123 Sod Iodide","code_information":[{"code":"4060334","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9516","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":650,"gross_charge":625,"discounted_cash":469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":419},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Organ Donation (Neob)","code_information":[{"code":"40800002","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP40800002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":650,"gross_charge":625,"discounted_cash":469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":419},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":238},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Commercial","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":238},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Cardiac Monitor 24-48 Hrs Recording","code_information":[{"code":"4030134","type":"CDM"},{"code":"731","type":"RC"},{"code":"93225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":649,"gross_charge":624,"discounted_cash":468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":237},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":438},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Commercial","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":237},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Cardiac Monitor 24-48 Hrs Scan/analysis","code_information":[{"code":"4030135","type":"CDM"},{"code":"731","type":"RC"},{"code":"93226","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":649,"gross_charge":624,"discounted_cash":468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":237},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":438},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Commercial","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":237},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Cardiac Monitor 3-7 Days Scan/analysis","code_information":[{"code":"4030347","type":"CDM"},{"code":"731","type":"RC"},{"code":"93243","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":649,"gross_charge":624,"discounted_cash":468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":237},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":438},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Commercial","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":237},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Cardiac Monitor 8-15 Days Scan/analysis","code_information":[{"code":"4030349","type":"CDM"},{"code":"731","type":"RC"},{"code":"93247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":649,"gross_charge":624,"discounted_cash":468,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":237},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":438},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Commercial","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":237},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Set/percutaneous Neph 8.3fr #080008","code_information":[{"code":"3253219","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":648,"gross_charge":623,"discounted_cash":467,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":237},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":437},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Commercial","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":237},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Omni Lok","code_information":[{"code":"3700842","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":647,"gross_charge":622,"discounted_cash":467,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"United Healthcare","plan_name":"Commercial","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":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":".Each Addl Marker 9","code_information":[{"code":"4010907","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":647,"gross_charge":622,"discounted_cash":467,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"United Healthcare","plan_name":"Commercial","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":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Stent/optima 6x24 #788624","code_information":[{"code":"3259106","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":646,"gross_charge":621,"discounted_cash":466,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":416},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":436},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Hepatotomy Opn Drain Absces 1 Or 2 Stage","code_information":[{"code":"4040421","type":"CDM"},{"code":"761","type":"RC"},{"code":"47010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":645,"gross_charge":620,"discounted_cash":465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":416},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Inc  Drain  Of Vulva Or Perineal Abcess","code_information":[{"code":"4040428","type":"CDM"},{"code":"761","type":"RC"},{"code":"56405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":645,"gross_charge":620,"discounted_cash":465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":416},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Puncture Drainage Of Breast Cyst","code_information":[{"code":"4040429","type":"CDM"},{"code":"761","type":"RC"},{"code":"19000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":645,"gross_charge":620,"discounted_cash":465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":416},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Puncture Drainage Of Breast Cyst Addl","code_information":[{"code":"4040454","type":"CDM"},{"code":"761","type":"RC"},{"code":"19001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":645,"gross_charge":620,"discounted_cash":465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":416},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":236},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Inj Shoulder Arthrography","code_information":[{"code":"4040414","type":"CDM"},{"code":"761","type":"RC"},{"code":"23350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":643,"gross_charge":618,"discounted_cash":464,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":414},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":235},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"United Healthcare","plan_name":"Commercial","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":235},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235}]}]},{"description":"Wire Olive Threaded 1.4mm P99-201-1406","code_information":[{"code":"3701154","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":642,"gross_charge":617,"discounted_cash":463,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Screw/bone 6.5mmx25mm #121725-500","code_information":[{"code":"3251151","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":641,"gross_charge":616,"discounted_cash":462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":413},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Ritalin Urine Mayo","code_information":[{"code":"4016263","type":"CDM"},{"code":"300","type":"RC"},{"code":"80360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":641,"gross_charge":616,"discounted_cash":462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":413},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Uranium Urine  Mayo","code_information":[{"code":"4017164","type":"CDM"},{"code":"300","type":"RC"},{"code":"83018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":641,"gross_charge":616,"discounted_cash":462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":413},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Fluoro J Tube Placement","code_information":[{"code":"4040448","type":"CDM"},{"code":"761","type":"RC"},{"code":"49465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":640,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Blade Osteo Renovation","code_information":[{"code":"3257786","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":640,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Blade Osteo Thin Rounded End","code_information":[{"code":"3257493","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257493","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":640,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Roth 50/50 Platinum Net #Bx00715050","code_information":[{"code":"3259938","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259938","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":640,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Us Ext Arterial Lt","code_information":[{"code":"4040279-LT","type":"CDM"},{"code":"920","type":"RC"},{"code":"93926","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":234,"maximum":640,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Us Ext Arterial Rt","code_information":[{"code":"4040280-RT","type":"CDM"},{"code":"920","type":"RC"},{"code":"93926","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":234,"maximum":640,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":412},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":234},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":432},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Commercial","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":234},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Lower Extremeties Left Infant","code_information":[{"code":"4040551-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73592","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":233,"maximum":638,"gross_charge":613,"discounted_cash":460,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":411},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Commercial","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":233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Lower Extremeties Right Infant","code_information":[{"code":"4040552-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73592","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":233,"maximum":638,"gross_charge":613,"discounted_cash":460,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":411},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Commercial","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":233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Non-locking 3.5x16","code_information":[{"code":"3700723","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":233,"maximum":636,"gross_charge":612,"discounted_cash":459,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":410},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"United Healthcare","plan_name":"Commercial","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":233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Non-locking 3x18","code_information":[{"code":"3700725","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":233,"maximum":636,"gross_charge":612,"discounted_cash":459,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":410},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":233},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"United Healthcare","plan_name":"Commercial","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":233},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Lisdexamfetamine Urine Mayo","code_information":[{"code":"4017650","type":"CDM"},{"code":"300","type":"RC"},{"code":"80324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":635,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":410},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Dihydroergotamine 1 Mg / Ml Vial","code_information":[{"code":"4073967","type":"CDM"},{"code":"636","type":"RC"},{"code":"57408","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":635,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":410},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Code 99","code_information":[{"code":"4170041","type":"CDM"},{"code":"410","type":"RC"},{"code":"92950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":634,"gross_charge":610,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":409},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Suture Permaloop Blue Braided","code_information":[{"code":"3700839","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":634,"gross_charge":610,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":409},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Drill W/graduate #11-2048","code_information":[{"code":"3257432","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257432","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":634,"gross_charge":610,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":409},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Us Ob Detail Transabdominal","code_information":[{"code":"4060053-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76811","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":232,"maximum":634,"gross_charge":610,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":409},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Ultrasound Pregnant Single/1st Gestation","code_information":[{"code":"4090294-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76811","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":232,"maximum":634,"gross_charge":610,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":409},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":232},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Commercial","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":232},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":".Flow Cyto Nuc Marker Mayo","code_information":[{"code":"4017036-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88184","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":231,"maximum":633,"gross_charge":609,"discounted_cash":457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":231},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231}]}]},{"description":"Acetylcysteine Inj 200 Mg / Ml (30 Ml)","code_information":[{"code":"4077619","type":"CDM"},{"code":"636","type":"RC"},{"code":"57408","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":231,"maximum":633,"gross_charge":609,"discounted_cash":457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":231},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":428},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Meningococcal Vaccine (Menactra)","code_information":[{"code":"4078159","type":"CDM"},{"code":"250","type":"RC"},{"code":"49281058905","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":231,"maximum":2801,"gross_charge":608,"discounted_cash":456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":408},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":231},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":427},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Buprenorphine Scr With Reflex Urine May","code_information":[{"code":"4011938","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":231,"maximum":631,"gross_charge":607,"discounted_cash":455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":231},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231}]}]},{"description":".Immunostain Mayo","code_information":[{"code":"4016469-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":231,"maximum":631,"gross_charge":607,"discounted_cash":455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":231},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231}]}]},{"description":"Orthovisc (Cvosm)","code_information":[{"code":"4079050","type":"CDM"},{"code":"636","type":"RC"},{"code":"59676036001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":230,"maximum":2801,"gross_charge":606,"discounted_cash":455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Micafungin 100 Mg Vial","code_information":[{"code":"4070046","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021019110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":230,"maximum":2801,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Diazepam Rectal Gel 10 Mg","code_information":[{"code":"4077837","type":"CDM"},{"code":"250","type":"RC"},{"code":"68682065220","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":230,"maximum":2801,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Mesh Flat Sheet 3x6 #0112680","code_information":[{"code":"3251403","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":230,"maximum":629,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Commercial","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":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Amylase Body Fluid Mayo","code_information":[{"code":"4010562","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":230,"maximum":629,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Commercial","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":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Finger Left 1 View","code_information":[{"code":"4040517-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":230,"maximum":629,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Commercial","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":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Finger Right 1 View","code_information":[{"code":"4040518-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":230,"maximum":629,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":406},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":425},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Commercial","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":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":".Charge Mayo Trg Gene Rearrange Anal","code_information":[{"code":"4016203","type":"CDM"},{"code":"300","type":"RC"},{"code":"81342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":230,"maximum":628,"gross_charge":604,"discounted_cash":453,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":424},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Ankle Left 3 View","code_information":[{"code":"4040501-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73610","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":230,"maximum":628,"gross_charge":604,"discounted_cash":453,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":424},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Ankle Right 3 View","code_information":[{"code":"4040502-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73610","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":230,"maximum":628,"gross_charge":604,"discounted_cash":453,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":230},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":424},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Sincalide 5 Mcg Inj","code_information":[{"code":"4070099","type":"CDM"},{"code":"636","type":"RC"},{"code":"27005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":627,"gross_charge":603,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Commercial","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":229},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Hypersensitivity Pneumonitis Panel","code_information":[{"code":"4017026","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":627,"gross_charge":603,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Commercial","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":229},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":".Ref Detect Agent Nos Dna Mayo","code_information":[{"code":"4017837","type":"CDM"},{"code":"300","type":"RC"},{"code":"87556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":626,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Commercial","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":229},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Upper Ext Infant Left 2 View","code_information":[{"code":"4040567-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73092","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":229,"maximum":626,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Commercial","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":229},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Upper Ext Infant Right 2 View","code_information":[{"code":"4040568-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73092","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":229,"maximum":626,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":404},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":423},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Commercial","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":229},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Estradiol Cypionate 25 Mg / 5 Ml","code_information":[{"code":"4077825","type":"CDM"},{"code":"636","type":"RC"},{"code":"90271","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":228,"maximum":625,"gross_charge":601,"discounted_cash":451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":228},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Commercial","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":228},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Swallowing/oral Funct Treatment Iv 60m","code_information":[{"code":"4380043-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92526","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":228,"maximum":624,"gross_charge":600,"discounted_cash":450,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":228},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":421},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Navigator Hd 11/13frx36cm #M0062502220","code_information":[{"code":"3251852","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1894","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":623,"gross_charge":599,"discounted_cash":449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":228},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"United Healthcare","plan_name":"Commercial","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":228},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":".Bcr Abl1 Cml Trans Anal","code_information":[{"code":"4016594","type":"CDM"},{"code":"300","type":"RC"},{"code":"81206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":623,"gross_charge":599,"discounted_cash":449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":228},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"United Healthcare","plan_name":"Commercial","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":228},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Interferon Gamma Serum  Mayo","code_information":[{"code":"4017138","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":623,"gross_charge":599,"discounted_cash":449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":402},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":228},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"United Healthcare","plan_name":"Commercial","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":228},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Abd 2 Views","code_information":[{"code":"4040143-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74019","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":227,"maximum":622,"gross_charge":598,"discounted_cash":449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":401},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":227},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Forcep/3-wire Grasping #39330","code_information":[{"code":"3250686","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250686","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":621,"gross_charge":597,"discounted_cash":448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":227},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Kit/mic-key 20fr/2.7 #364201202027","code_information":[{"code":"3250821","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":621,"gross_charge":597,"discounted_cash":448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":227},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"..Ehrlichia Chaff Ab Igg Igm Mayo","code_information":[{"code":"4016847","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":621,"gross_charge":597,"discounted_cash":448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":400},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":227},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":419},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Chest Fluro Only","code_information":[{"code":"4040104-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":226,"maximum":620,"gross_charge":596,"discounted_cash":447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":399},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":226},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Fluoroscopy Up To 1 Hr Physicn Time","code_information":[{"code":"4040212-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":226,"maximum":620,"gross_charge":596,"discounted_cash":447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":399},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":226},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Fluoroscopy Up To 1 Hr Physicn Time","code_information":[{"code":"4040312-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":226,"maximum":620,"gross_charge":596,"discounted_cash":447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":399},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":226},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Fluoroscopy W Film","code_information":[{"code":"4040213-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":226,"maximum":620,"gross_charge":596,"discounted_cash":447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":399},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":226},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":".Charge Prothrom G20210a Mut Mayo","code_information":[{"code":"4017112","type":"CDM"},{"code":"300","type":"RC"},{"code":"81240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":226,"maximum":619,"gross_charge":595,"discounted_cash":446,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":399},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":226},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":418},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Balloon Dialating 18mm","code_information":[{"code":"3250550","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250550","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":615,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":225},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":415},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225}]}]},{"description":"Screw/locking 2.7x16mm #202.216","code_information":[{"code":"3250254","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":615,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":225},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":415},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225}]}]},{"description":"Screw/locking 2.7x22mm #202.222","code_information":[{"code":"3259562","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":615,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":225},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":415},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225}]}]},{"description":"Pack/custom Foot Pack","code_information":[{"code":"3211512","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211512","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":615,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":225},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":415},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225}]}]},{"description":"Screw/locking 2.7x12mm #202.212","code_information":[{"code":"3250211","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":615,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":396},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":225},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":415},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225}]}]},{"description":"Naloxone Screen, Total, Urine Mayo","code_information":[{"code":"4018014","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":614,"gross_charge":590,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":224},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","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":224},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Leukotriene E4, 24 Hour Urine Mayo","code_information":[{"code":"4018004","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":614,"gross_charge":590,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":224},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","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":224},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":".4 Rbc Ag Neg Unitarc","code_information":[{"code":"4016889","type":"CDM"},{"code":"300","type":"RC"},{"code":"86902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":614,"gross_charge":590,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":224},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":414},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Commercial","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":224},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Ct Abscess Subdiaphragmatic","code_information":[{"code":"4050231","type":"CDM"},{"code":"761","type":"RC"},{"code":"49040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":613,"gross_charge":589,"discounted_cash":442,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":224},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":413},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"United Healthcare","plan_name":"Commercial","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":224},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Us Abscess Subdiaphragmatic","code_information":[{"code":"4060240","type":"CDM"},{"code":"761","type":"RC"},{"code":"49040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":613,"gross_charge":589,"discounted_cash":442,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":395},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":224},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":413},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"United Healthcare","plan_name":"Commercial","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":224},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":".Autoimmune Dysautonomia Cpt X5","code_information":[{"code":"4016598","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":612,"gross_charge":588,"discounted_cash":441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":394},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":413},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Covid-19 Vaccine (Pfizer-biontech)","code_information":[{"code":"4070072","type":"CDM"},{"code":"636","type":"RC"},{"code":"69236","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":223,"maximum":612,"gross_charge":588,"discounted_cash":441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":394},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":413},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Recovery Room Charge 31-45","code_information":[{"code":"3220011","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":610,"gross_charge":587,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Mammography of one breast","code_information":[{"code":"4040223-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77065","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":223,"maximum":610,"gross_charge":587,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Mammography of one breast","code_information":[{"code":"4040254-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77065","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":223,"maximum":610,"gross_charge":587,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":412},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Us Echocardiogram Limited","code_information":[{"code":"4060098","type":"CDM"},{"code":"483","type":"RC"},{"code":"93308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":609,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Trastuzumab 150 Mg Vial","code_information":[{"code":"4079146","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242013201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":223,"maximum":2801,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Cv Ankle Left 3 Views (Mcr Tech)","code_information":[{"code":"1700202-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73610","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":223,"maximum":609,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Cv Ankle Right 3 Views (Mcr Tech)","code_information":[{"code":"1700203-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73610","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":223,"maximum":609,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":223},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Commercial","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":223},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Roth Polyp Net/universal Bx00715050","code_information":[{"code":"3258209","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":608,"gross_charge":585,"discounted_cash":439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Commercial","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":222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Retrieval Bag 12-15mm","code_information":[{"code":"3251952","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":608,"gross_charge":585,"discounted_cash":439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Commercial","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":222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Pack/custom General Procedure","code_information":[{"code":"3211511","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3211511","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":608,"gross_charge":585,"discounted_cash":439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":392},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Commercial","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":222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Mod Sedation Init 15 Min >5 Yrs Old","code_information":[{"code":"3239870","type":"CDM"},{"code":"370","type":"RC"},{"code":"99156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":607,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":391},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":410},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Probe/smart & Argon Probe","code_information":[{"code":"3251787","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":606,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":391},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":222},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":409},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"Commercial","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":222},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":".Rbc Antigen Dhmc","code_information":[{"code":"4016901","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":221,"maximum":605,"gross_charge":582,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":221},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":409},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"Commercial","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":221},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221}]}]},{"description":"Facial 1 2 Views","code_information":[{"code":"4040114-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70140","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":221,"maximum":605,"gross_charge":582,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":390},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":221},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":409},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"Commercial","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":221},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221}]}]},{"description":"Acetylcholine Receptor Binding Ab Mayo","code_information":[{"code":"4011095","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":221,"maximum":604,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":221},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":408},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"Commercial","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":221},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221}]}]},{"description":"3.2mm Guide Wire #357.399 (In Set)","code_information":[{"code":"3259722","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":603,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":220},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":407},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Commercial","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":220},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Chest 4 Views","code_information":[{"code":"4040197-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71048","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":220,"maximum":602,"gross_charge":579,"discounted_cash":434,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":220},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":".Blood Culture Id2 Biofire Pcr","code_information":[{"code":"4017948","type":"CDM"},{"code":"300","type":"RC"},{"code":"87154","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":598,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":219},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"Commercial","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":219},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219}]}]},{"description":".Charge Mayo Igk Rearrangement Clona","code_information":[{"code":"4017157-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"81264","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":218,"maximum":596,"gross_charge":573,"discounted_cash":430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":218},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"United Healthcare","plan_name":"Commercial","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":218},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218}]}]},{"description":"Leptin Mayo","code_information":[{"code":"4016252","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":595,"gross_charge":572,"discounted_cash":429,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Elbow Left 2 View","code_information":[{"code":"4040511-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":217,"maximum":595,"gross_charge":572,"discounted_cash":429,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Elbow Right 2 View","code_information":[{"code":"4040512-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":217,"maximum":595,"gross_charge":572,"discounted_cash":429,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":402},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Temp Fixation Pin 1.1mm Small","code_information":[{"code":"3700188","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":594,"gross_charge":571,"discounted_cash":428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Clonidine  Mayo","code_information":[{"code":"4017147","type":"CDM"},{"code":"300","type":"RC"},{"code":"80375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":594,"gross_charge":571,"discounted_cash":428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":383},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":".Procalcitonin  Serum   Mayo","code_information":[{"code":"4017050","type":"CDM"},{"code":"300","type":"RC"},{"code":"84145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":593,"gross_charge":570,"discounted_cash":428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":382},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Commercial","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":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Us Retroperitoneum Limited","code_information":[{"code":"4060058-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76775","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":217,"maximum":593,"gross_charge":570,"discounted_cash":428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":382},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":217},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Commercial","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":217},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Screw/locking 1.5 X 16mm","code_information":[{"code":"3251963","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":592,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Screw/locking 1.5 X 16mm","code_information":[{"code":"3251964","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":592,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":".Von Willebrand Factor Activity  Mayo","code_information":[{"code":"4017810","type":"CDM"},{"code":"300","type":"RC"},{"code":"85397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":592,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Injection Elbow Arthrography","code_information":[{"code":"4040408","type":"CDM"},{"code":"761","type":"RC"},{"code":"24220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":591,"gross_charge":568,"discounted_cash":426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Commercial","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":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Cementralizer 12.0 #137621000","code_information":[{"code":"3251379","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":591,"gross_charge":568,"discounted_cash":426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Commercial","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":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Cementralizer 15 #1376-31-000","code_information":[{"code":"3251407","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":591,"gross_charge":568,"discounted_cash":426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Commercial","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":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Stapler/tl Linear 60mm","code_information":[{"code":"3252124","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":591,"gross_charge":568,"discounted_cash":426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Commercial","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":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Norovirus Stool Pcr  Mayo","code_information":[{"code":"4011969","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":591,"gross_charge":568,"discounted_cash":426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":381},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":216},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":399},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Commercial","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":216},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Mech Vent Rt Check Daily","code_information":[{"code":"4170117","type":"CDM"},{"code":"410","type":"RC"},{"code":"94003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":215,"maximum":590,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":215},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"United Healthcare","plan_name":"Commercial","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":215},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"Apixaban (Eliquis)  Mayo","code_information":[{"code":"4018015","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":215,"maximum":590,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":215},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"United Healthcare","plan_name":"Commercial","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":215},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"Bone Densitometry","code_information":[{"code":"4040500-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77080","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":215,"maximum":590,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":215},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"United Healthcare","plan_name":"Commercial","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":215},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"Epinephrine Auto-injector *Adult*","code_information":[{"code":"4077130","type":"CDM"},{"code":"250","type":"RC"},{"code":"49502050002","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":215,"maximum":2801,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":215},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Brace/g3 Post Op Knee","code_information":[{"code":"3700690","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1833","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":587,"gross_charge":564,"discounted_cash":423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":378},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":214},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Commercial","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":214},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214}]}]},{"description":"Biovac Direct Suction Device","code_information":[{"code":"3259937","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":587,"gross_charge":564,"discounted_cash":423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":378},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":214},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Commercial","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":214},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214}]}]},{"description":".Igg Subclasses","code_information":[{"code":"4010511","type":"CDM"},{"code":"300","type":"RC"},{"code":"82787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":586,"gross_charge":563,"discounted_cash":422,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":214},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":395},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"Commercial","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":214},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214}]}]},{"description":"6 Monoacetylmorphine Mayo","code_information":[{"code":"4016161","type":"CDM"},{"code":"300","type":"RC"},{"code":"80356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":586,"gross_charge":563,"discounted_cash":422,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":377},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":214},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":395},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"Commercial","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":214},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214}]}]},{"description":"Screw/locking 3.5x35mm #212.114","code_information":[{"code":"3251885","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":583,"gross_charge":561,"discounted_cash":421,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":213},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":394},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw/cortex 2.4 401.516.96","code_information":[{"code":"3250579","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":582,"gross_charge":560,"discounted_cash":420,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":213},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":393},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":213},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Driver T8 Cannulated","code_information":[{"code":"3700733","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700733","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":582,"gross_charge":560,"discounted_cash":420,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":213},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":393},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":213},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Driver T8 Solid","code_information":[{"code":"3700732","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700732","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":582,"gross_charge":560,"discounted_cash":420,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":213},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":393},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":213},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":".Cell Bound Platelet Autoantibody Mayo","code_information":[{"code":"4011580","type":"CDM"},{"code":"300","type":"RC"},{"code":"86023","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":581,"gross_charge":559,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":212},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":392},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Commercial","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":212},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":"Epoetin Alfa 10,000 Units","code_information":[{"code":"4077982","type":"CDM"},{"code":"636","type":"RC"},{"code":"59676031001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":212,"maximum":2801,"gross_charge":559,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":212},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":392},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Epidural Blood Patch","code_information":[{"code":"4080263","type":"CDM"},{"code":"341","type":"RC"},{"code":"62273","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":580,"gross_charge":558,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":212},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":392},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"Commercial","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":212},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":".Charge Pla2r Immunofluorescence Mayo","code_information":[{"code":"4017791","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":579,"gross_charge":557,"discounted_cash":418,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":212},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":391},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Commercial","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":212},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":"Carisoprodol Urine Mayo","code_information":[{"code":"4017233","type":"CDM"},{"code":"300","type":"RC"},{"code":"80369","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":578,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Speech/language Treatment Iv Per 60 Min","code_information":[{"code":"4380023-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92507","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":211,"maximum":578,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Neck Soft Tissue","code_information":[{"code":"4040193-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70360","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":211,"maximum":578,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Heel Left 2 View","code_information":[{"code":"4040535-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":211,"maximum":578,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Heel Right 2 View","code_information":[{"code":"4040536-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":211,"maximum":578,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":373},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Hyaluronate 25 Mg/2.5 Ml","code_information":[{"code":"4078011","type":"CDM"},{"code":"636","type":"RC"},{"code":"89130444401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":211,"maximum":2801,"gross_charge":555,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":372},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Cv Elbow Left 2 Views (Mcr Tech)","code_information":[{"code":"1700206-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":211,"maximum":577,"gross_charge":555,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":372},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Cv Elbow Right 2 Views (Mcr Tech)","code_information":[{"code":"1700207-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":211,"maximum":577,"gross_charge":555,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":372},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Hip Left 1 View","code_information":[{"code":"4040539-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73501","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":211,"maximum":577,"gross_charge":555,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":372},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Hip Right 1 View","code_information":[{"code":"4040540-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73501","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":211,"maximum":577,"gross_charge":555,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":372},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":390},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Ct Abscess Retroperitioneal","code_information":[{"code":"4050230","type":"CDM"},{"code":"761","type":"RC"},{"code":"49060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":576,"gross_charge":554,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":389},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Inj Retrograde Urethrocystography","code_information":[{"code":"4040456","type":"CDM"},{"code":"761","type":"RC"},{"code":"51610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":576,"gross_charge":554,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":389},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Us Abscess Retroperitioneal","code_information":[{"code":"4060239","type":"CDM"},{"code":"761","type":"RC"},{"code":"49060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":576,"gross_charge":554,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":389},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"4.2mm Curved Full Radius Blade","code_information":[{"code":"3700024","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":576,"gross_charge":554,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":389},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Full Radius Blade Plus 4.0mm #283409","code_information":[{"code":"3251569","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":576,"gross_charge":554,"discounted_cash":416,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":211},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":389},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Commercial","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":211},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Mmr Ii (Mea,mump,&rub)","code_information":[{"code":"4077271","type":"CDM"},{"code":"636","type":"RC"},{"code":"64681","type":"CPT","modifier":"0"}],"standard_charges":[{"setting":"outpatient","modifier_code":["0"],"minimum":210,"maximum":575,"gross_charge":553,"discounted_cash":415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":371},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":210},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":388},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Commercial","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":210},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Charge Rrmc Bc Gp Verigene Ent","code_information":[{"code":"4017321","type":"CDM"},{"code":"300","type":"RC"},{"code":"87149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":210,"maximum":574,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":210},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":388},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210}]}]},{"description":"Stent/variable Length 22-30cm","code_information":[{"code":"3251813","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":573,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":387},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Stent/percuflex 6x26 #175-263","code_information":[{"code":"3258846","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":573,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":387},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Tape/labral #Ar7276","code_information":[{"code":"3251556","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":573,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":387},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Cement/bone Simplex P","code_information":[{"code":"3254808","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3254808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":573,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":387},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":".Braf Rapid Pcr  Dhmc","code_information":[{"code":"4017001","type":"CDM"},{"code":"300","type":"RC"},{"code":"81210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":573,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":387},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Cytology-urine","code_information":[{"code":"4010357-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88112","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":209,"maximum":573,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":387},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Restrictor/buck Femoral Cement 12-9419","code_information":[{"code":"3254090","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":572,"gross_charge":550,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":369},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":209},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":386},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"Commercial","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":209},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Navigator  11f/13f X28cm #250-200","code_information":[{"code":"3251548","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1894","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":569,"gross_charge":547,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":208},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","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":208},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"Sheath/navigator 11/13 46mm","code_information":[{"code":"3700123","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1894","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":569,"gross_charge":547,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":208},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","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":208},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":".Iodine/creatinine Ratio Mayo","code_information":[{"code":"4017770","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":569,"gross_charge":547,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":208},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","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":208},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"Malarial Detection By Pcr Mayo","code_information":[{"code":"4016036","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":569,"gross_charge":547,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":367},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":208},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":384},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","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":208},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":".Charge Hla-dq Typing Mayo","code_information":[{"code":"4017998","type":"CDM"},{"code":"300","type":"RC"},{"code":"81376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":568,"gross_charge":546,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":366},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":383},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Interleukin 4 Serum Mayo","code_information":[{"code":"4017654","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":568,"gross_charge":546,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":366},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":383},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Screw/locking 5.0mm/6.4mm/80mm #12-2384","code_information":[{"code":"3257892","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":568,"gross_charge":546,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":366},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":383},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Roth Net Retriever Max 4x8cm","code_information":[{"code":"3700966","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":567,"gross_charge":545,"discounted_cash":409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":365},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":383},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":".Ntx Telopeptide Serum Mayo","code_information":[{"code":"4017120","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":567,"gross_charge":545,"discounted_cash":409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":365},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":383},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Fatty Acid Profile Essential Mayo","code_information":[{"code":"4016214","type":"CDM"},{"code":"300","type":"RC"},{"code":"82725","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":566,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":365},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":207},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":382},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":".Charge Mog Facs","code_information":[{"code":"4017887","type":"CDM"},{"code":"300","type":"RC"},{"code":"86363","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":565,"gross_charge":543,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":364},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":206},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":381},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"Commercial","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":206},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":".Charge Nmo/aqp4 Facs","code_information":[{"code":"4017886","type":"CDM"},{"code":"300","type":"RC"},{"code":"86053","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":565,"gross_charge":543,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":364},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":206},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":381},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"Commercial","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":206},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":"Screw/cortex 2.4 401.513.96","code_information":[{"code":"3250577","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":564,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":363},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":206},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":380},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Commercial","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":206},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":".Mass Spectrometry Mayo","code_information":[{"code":"4017611","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":564,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":363},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":206},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":380},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Commercial","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":206},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":".Cutaneous Immunofluorescence Bx Mayo","code_information":[{"code":"4015928-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88346","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":206,"maximum":563,"gross_charge":541,"discounted_cash":406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":363},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":206},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":380},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Commercial","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":206},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":"Cv Calcaneus Left 2 Views (Mcr Tech)","code_information":[{"code":"1700224-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":205,"maximum":562,"gross_charge":540,"discounted_cash":405,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":379},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Cv Calcaneus Right 2 Views (Mcr Tech)","code_information":[{"code":"1700225-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":205,"maximum":562,"gross_charge":540,"discounted_cash":405,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":362},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":379},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Bard Mesh 10  X 14  #0112660","code_information":[{"code":"3252138","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":561,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Bard Mesh 10' X 14' #0112660","code_information":[{"code":"3252318","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":561,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Radial Jaw 4 Jumbo Biopsy Forceps","code_information":[{"code":"3700124","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":561,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Probe/vascular Single Use #Vdp-8","code_information":[{"code":"3259589","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":561,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Tubing/infusion Line Pump","code_information":[{"code":"3255731","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":561,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":205},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","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":205},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":".Hep B Sf Cadaver Hemolyzed Mayo","code_information":[{"code":"4017189","type":"CDM"},{"code":"300","type":"RC"},{"code":"87340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":204,"maximum":560,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":"Abd Kub","code_information":[{"code":"4040142-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74018","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":204,"maximum":560,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":".Cytologybronch Wash","code_information":[{"code":"4010353-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88108","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":204,"maximum":560,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":361},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":378},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":"Methylene Blue 5 Mg/ml (10 Ml)","code_information":[{"code":"4076140","type":"CDM"},{"code":"636","type":"RC"},{"code":"51703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":204,"maximum":558,"gross_charge":537,"discounted_cash":403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":360},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":204},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":377},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Commercial","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":204},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Roth Net Retriever","code_information":[{"code":"3700620","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":555,"gross_charge":534,"discounted_cash":401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":358},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":375},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Commercial","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":203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":".Ref Culture Aerobic Id Mayo","code_information":[{"code":"4017212","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":555,"gross_charge":534,"discounted_cash":401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":358},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":375},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Commercial","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":203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":"Rast Perennials Mayo","code_information":[{"code":"4010742","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":555,"gross_charge":534,"discounted_cash":401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":358},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":375},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Commercial","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":203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":"Introducer/intubating Frova 8fr","code_information":[{"code":"3258375","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":555,"gross_charge":534,"discounted_cash":401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":358},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":375},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Commercial","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":203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":"Paclitaxel 150 Mg / 25 Ml","code_information":[{"code":"4077396","type":"CDM"},{"code":"636","type":"RC"},{"code":"70347","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":554,"gross_charge":533,"discounted_cash":400,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":357},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":374},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Commercial","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":203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Tmj Bilat","code_information":[{"code":"4040231-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70330","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":203,"maximum":554,"gross_charge":533,"discounted_cash":400,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":357},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":203},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":374},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Commercial","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":203},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":"Screw 6x160mm","code_information":[{"code":"3700541","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":202,"maximum":553,"gross_charge":532,"discounted_cash":399,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":357},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":202},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":373},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":".Bcr Abl1 #2","code_information":[{"code":"4016595","type":"CDM"},{"code":"300","type":"RC"},{"code":"81207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":202,"maximum":552,"gross_charge":531,"discounted_cash":398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":356},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":202},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":373},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"Commercial","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":202},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Remover/foreign Body (Katz Extractor)","code_information":[{"code":"3259063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":551,"gross_charge":530,"discounted_cash":398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":372},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Introducer/intubating Frova 14fr","code_information":[{"code":"3258374","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258374","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":550,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"United Healthcare","plan_name":"Commercial","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":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Roth Net-food Lolus #00711155","code_information":[{"code":"3259248","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259248","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":550,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":355},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"United Healthcare","plan_name":"Commercial","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":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Azacitidine 100 Mg Vial","code_information":[{"code":"4077794","type":"CDM"},{"code":"636","type":"RC"},{"code":"59572010201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":201,"maximum":2801,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":354},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":371},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Knee Left 1 Or 2 Views","code_information":[{"code":"4040545-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73560","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":201,"maximum":549,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":354},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":371},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"Commercial","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":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Knee Right 1 Or 2 Views","code_information":[{"code":"4040546-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73560","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":201,"maximum":549,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":354},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":371},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"Commercial","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":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Ketorolac 0.5% Ophth Drops (5 Ml)","code_information":[{"code":"4079165","type":"CDM"},{"code":"636","type":"RC"},{"code":"61314012605","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":201,"maximum":2801,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":354},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":201},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":371},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Quantum Aps Disposables #5001","code_information":[{"code":"3251297","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251297","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":548,"gross_charge":527,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":370},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"Commercial","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":200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":".Charge Mayo Fish Prb Ea Addl Lymph","code_information":[{"code":"4016430","type":"CDM"},{"code":"300","type":"RC"},{"code":"88377","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":547,"gross_charge":526,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Commercial","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":200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Podophyllin 25%/tinc Benz 15ml","code_information":[{"code":"4075049","type":"CDM"},{"code":"259","type":"RC"},{"code":"57406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":547,"gross_charge":526,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Commercial","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":200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"MRI Scan","code_information":[{"code":"4181211-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70553","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":200,"maximum":547,"gross_charge":526,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Commercial","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":200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Lens Model S122uv","code_information":[{"code":"3257860","type":"CDM"},{"code":"276","type":"RC"},{"code":"CP3257860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":546,"gross_charge":525,"discounted_cash":394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":352},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":200},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":369},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Commercial","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":200},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Vitamin K1 Mayo","code_information":[{"code":"4016071","type":"CDM"},{"code":"300","type":"RC"},{"code":"84597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":545,"gross_charge":524,"discounted_cash":393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":368},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Commercial","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":199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Acetoacetate Mayo","code_information":[{"code":"4017141","type":"CDM"},{"code":"300","type":"RC"},{"code":"82010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":545,"gross_charge":524,"discounted_cash":393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":368},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Commercial","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":199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":".Metaphases, 20-25  (Chrome Heme)","code_information":[{"code":"4016975","type":"CDM"},{"code":"300","type":"RC"},{"code":"88264","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":545,"gross_charge":524,"discounted_cash":393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":368},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Commercial","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":199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":".Resp Virus Mrt & Am Uvmc","code_information":[{"code":"4016619","type":"CDM"},{"code":"300","type":"RC"},{"code":"87631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":545,"gross_charge":524,"discounted_cash":393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":368},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Commercial","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":199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Culture (Chrom Heme)","code_information":[{"code":"4016976-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88237","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":199,"maximum":545,"gross_charge":524,"discounted_cash":393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":368},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Commercial","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":199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Dau Screen Bath Salts Urine Mayo","code_information":[{"code":"4016544","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":544,"gross_charge":523,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":351},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":199},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":367},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"Commercial","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":199},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Lone Star 5mm Sharp Hooks","code_information":[{"code":"3700591","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700591","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":543,"gross_charge":522,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Lone Star/32.5cm X 18.3 Cm","code_information":[{"code":"3700131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":543,"gross_charge":522,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":350},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Anoscopy 1 Hr","code_information":[{"code":"3280071","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":542,"gross_charge":521,"discounted_cash":391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Endoscopy 1 Hr","code_information":[{"code":"3280001","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":542,"gross_charge":521,"discounted_cash":391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Esophogeal Dilation 1 Hr","code_information":[{"code":"3280025","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":542,"gross_charge":521,"discounted_cash":391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Gastrostomy 1 Hrs","code_information":[{"code":"3280055","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":542,"gross_charge":521,"discounted_cash":391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Sigmoidoscopy 1 Hr","code_information":[{"code":"3280065","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":542,"gross_charge":521,"discounted_cash":391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":366},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Electrode Loop 24fr .38wire #A22201c","code_information":[{"code":"3258916","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258916","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":541,"gross_charge":520,"discounted_cash":390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":349},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":198},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":365},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Commercial","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":198},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":".Charge Dhmc Her2 Amplification Fish","code_information":[{"code":"4016914","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":197,"maximum":540,"gross_charge":519,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":348},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":197},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":".Cyto Fna Immediate Ea Addtl","code_information":[{"code":"4016844","type":"CDM"},{"code":"311","type":"RC"},{"code":"88177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":197,"maximum":539,"gross_charge":518,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":197},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Commercial","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":197},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Hep E  Antibody Igm Mayo","code_information":[{"code":"4011660","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":197,"maximum":539,"gross_charge":518,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":197},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Commercial","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":197},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":".Cyto Fna Immediate Initial Study","code_information":[{"code":"4016843-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88172","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":197,"maximum":539,"gross_charge":518,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":347},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":197},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":364},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Commercial","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":197},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Drug Test 8-14 Drug Classes","code_information":[{"code":"4012319","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0481","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":537,"gross_charge":516,"discounted_cash":387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":346},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":362},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"Commercial","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":196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196}]}]},{"description":"Electrode/hf Resection #A22251c","code_information":[{"code":"3259331","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":537,"gross_charge":516,"discounted_cash":387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":346},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":362},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"Commercial","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":196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196}]}]},{"description":"Drill Bit 2.0 Arthrex","code_information":[{"code":"3700236","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":537,"gross_charge":516,"discounted_cash":387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":346},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":362},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"Commercial","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":196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196}]}]},{"description":"Lens/anterior Lol #Mta4uo","code_information":[{"code":"3251386","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":537,"gross_charge":516,"discounted_cash":387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":346},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":362},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"Commercial","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":196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196}]}]},{"description":"Rhogam 1500iu","code_information":[{"code":"4020107","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206030010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":196,"maximum":2801,"gross_charge":516,"discounted_cash":387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":346},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":196},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":362},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196}]}],"drug_information":{"unit":1500,"type":"F2"}},{"description":"Rally Mv Bone Cement #7127-1580","code_information":[{"code":"3250793","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":195,"maximum":535,"gross_charge":514,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":345},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Commercial","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":195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"Rally Mv Bone Cement, 40g, 7127-1580","code_information":[{"code":"3700050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":195,"maximum":535,"gross_charge":514,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":345},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":361},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Commercial","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":195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":".Charge Rrmc Gp Verigene Sa","code_information":[{"code":"4017323","type":"CDM"},{"code":"300","type":"RC"},{"code":"87149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":195,"maximum":534,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":344},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":360},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Commercial","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":195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"Cv Knee Left 1-2 Views (Mcr Tech)","code_information":[{"code":"1700230-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73560","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":195,"maximum":534,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":344},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":360},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Commercial","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":195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"Cv Knee Right 1-2 Views (Mcr Tech)","code_information":[{"code":"1700231-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73560","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":195,"maximum":534,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":344},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":360},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Commercial","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":195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"Toxocara  Ab Igg    Mayo","code_information":[{"code":"4017134","type":"CDM"},{"code":"300","type":"RC"},{"code":"86682","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":195,"maximum":532,"gross_charge":512,"discounted_cash":384,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":343},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":195},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":359},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":". Leuk Flw Cyt Intrp 9-15 Mkrs Mayo","code_information":[{"code":"4011527","type":"CDM"},{"code":"300","type":"RC"},{"code":"88188","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":530,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":342},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":194},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":".Addtional Immuno Mayo","code_information":[{"code":"4017031","type":"CDM"},{"code":"300","type":"RC"},{"code":"88341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":530,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":342},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":194},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Retriever/suture Acufex #013593","code_information":[{"code":"3254378","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254378","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":530,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":342},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":194},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Amiodarone 900 Mg / 500 Ml (Drip Kit)","code_information":[{"code":"4079113","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457015309","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":194,"maximum":2801,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":342},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":194},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194}]}],"drug_information":{"unit":900,"type":"ME"}},{"description":".Ihc Single Ab Stain Mayo","code_information":[{"code":"4016995-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":194,"maximum":530,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":342},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":194},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":358},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Antimullerian Hormone Serum  Mayo","code_information":[{"code":"4016835","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":529,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":341},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":193},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":357},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Commercial","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":193},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Inj Wrist Arthrography","code_information":[{"code":"4040404","type":"CDM"},{"code":"761","type":"RC"},{"code":"25246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":528,"gross_charge":508,"discounted_cash":381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":193},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":357},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Commercial","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":193},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Screw/schanz #294.54","code_information":[{"code":"3251512","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":527,"gross_charge":507,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":340},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":193},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Commercial","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":193},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Pin/steinman #293.74","code_information":[{"code":"3251511","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251511","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":527,"gross_charge":507,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":340},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":193},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Commercial","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":193},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Brace Post-op Regular","code_information":[{"code":"3259969","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259969","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":527,"gross_charge":507,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":340},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":193},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Commercial","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":193},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Drill Bit #03.130.200","code_information":[{"code":"3251783","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":525,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":"Ippb Treatment","code_information":[{"code":"4170006","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":525,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":"Histamine Plasma Mayo","code_information":[{"code":"4017136","type":"CDM"},{"code":"300","type":"RC"},{"code":"83088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":525,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":".Each Addl Marker 6","code_information":[{"code":"4016359","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":525,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":".Charge Hiv-1 Pcr Mayo","code_information":[{"code":"4017994","type":"CDM"},{"code":"300","type":"RC"},{"code":"87535","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":525,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":".Charge Hiv-2 Pcr Mayo","code_information":[{"code":"4017995","type":"CDM"},{"code":"300","type":"RC"},{"code":"87535","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":525,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":355},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":".Quantitative Assay Drug","code_information":[{"code":"4016326","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":524,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":354},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":"Humerus Left 2 View","code_information":[{"code":"4040543-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":192,"maximum":524,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":354},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":"Humerus Right 2 View","code_information":[{"code":"4040544-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":192,"maximum":524,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":338},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":192},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":354},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Commercial","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":192},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":"Pin/speed 80mm 7401-3490","code_information":[{"code":"3252061","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":523,"gross_charge":503,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":337},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":353},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"Commercial","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":191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Respiratory Allergen Profile Mayo","code_information":[{"code":"4017726","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":523,"gross_charge":503,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":337},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":353},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"Commercial","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":191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Screw/locking 3.5x32 #213.032","code_information":[{"code":"3258572","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":522,"gross_charge":502,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":336},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"Commercial","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":191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Hep C Quant W/ Reflex To Genotype Uvmc","code_information":[{"code":"4016653","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":522,"gross_charge":502,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":336},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"Commercial","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":191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Ureaplasma Species  Pcr  Mayo","code_information":[{"code":"4016392","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":522,"gross_charge":502,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":336},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":191},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"Commercial","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":191},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Virus Respiratory Panel Uvmc","code_information":[{"code":"4017334","type":"CDM"},{"code":"300","type":"RC"},{"code":"87632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":521,"gross_charge":501,"discounted_cash":376,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":336},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":190},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":352},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"Commercial","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":190},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190}]}]},{"description":"Triglycerides Body Fluid Mayo","code_information":[{"code":"4017871","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":520,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":190},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":351},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Commercial","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":190},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190}]}]},{"description":"Sheath/navigator Access 28cm","code_information":[{"code":"3258884","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":519,"gross_charge":499,"discounted_cash":374,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":334},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":190},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":350},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Commercial","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":190},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190}]}]},{"description":"Sheath/navigator Access  13f/15f","code_information":[{"code":"3258883","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":518,"gross_charge":498,"discounted_cash":374,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":334},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":189},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":350},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Lone Star 14.1 Cm X 14.1 Cm","code_information":[{"code":"3700589","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":517,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":333},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":189},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":349},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":189},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Naloxone Nasal Spray 4 Mg","code_information":[{"code":"4070133","type":"CDM"},{"code":"637","type":"RC"},{"code":"69547035302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":189,"maximum":2801,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":333},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":189},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":349},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Screw Evos 4.7x40mm","code_information":[{"code":"3700689","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x44mm","code_information":[{"code":"3700800","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x36mm","code_information":[{"code":"3700688","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x55mm","code_information":[{"code":"3700611","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x36mm","code_information":[{"code":"3700864","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x38mm","code_information":[{"code":"3700863","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x46mm","code_information":[{"code":"3700875","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Screw Evos 4.7x60mm","code_information":[{"code":"3700612","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":516,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Bit Drill 2.5  2312-01-302","code_information":[{"code":"3258592","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":515,"gross_charge":495,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":347},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Bit Drill 2.0mm 2312-01-301","code_information":[{"code":"3258591","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258591","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":515,"gross_charge":495,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":347},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Carbamazepine Free Mayo","code_information":[{"code":"4017613","type":"CDM"},{"code":"300","type":"RC"},{"code":"80157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":515,"gross_charge":495,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":332},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":347},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Emergency Room Procedurecomplex","code_information":[{"code":"3230495","type":"CDM"},{"code":"450","type":"RC"},{"code":"CP3230495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":514,"gross_charge":494,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":331},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":188},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":347},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Commercial","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":188},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Cath/fogarty Bill Balloon 6fr #Cv5005","code_information":[{"code":"3253180","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253180","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":513,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Grasper/raptor  #Bx00711177","code_information":[{"code":"3250582","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":513,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Rohypnol Serum Mayo","code_information":[{"code":"4011729","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":513,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Endopath/babcock 5mm #5bb","code_information":[{"code":"3250038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":511,"gross_charge":491,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":345},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Commercial","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":187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Compx Cystometrogram W/voiding Pres Tc","code_information":[{"code":"710221","type":"CDM"},{"code":"510","type":"RC"},{"code":"51728","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":511,"gross_charge":491,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":345},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Commercial","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":187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Schanz Screw 4.5 Mm X 150 Mm","code_information":[{"code":"3700086","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":511,"gross_charge":491,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":329},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":187},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":345},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Commercial","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":187},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Sodium Hyaluronate 20 Mg/2 Ml","code_information":[{"code":"4070265","type":"CDM"},{"code":"636","type":"RC"},{"code":"55566410001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":186,"maximum":2801,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":328},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":186},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":344},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Drill Bit 2.8x165mm 310.288","code_information":[{"code":"3700355","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700355","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":509,"gross_charge":489,"discounted_cash":367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":186},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186}]}]},{"description":"Bk Virus Urine Random  Pcr  Mayo","code_information":[{"code":"4017743","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":509,"gross_charge":489,"discounted_cash":367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":186},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186}]}]},{"description":"Cv Humerus Left 2 Views (Mcr Tech)","code_information":[{"code":"1700228-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":186,"maximum":509,"gross_charge":489,"discounted_cash":367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":186},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186}]}]},{"description":"Cv Humerus Right 2 Views (Mcr Tech)","code_information":[{"code":"1700229-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":186,"maximum":509,"gross_charge":489,"discounted_cash":367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":186},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186}]}]},{"description":"Pin Toe Motion Kit 1.5mm","code_information":[{"code":"3700896","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":508,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Borellia Hernsii Igm Mayo","code_information":[{"code":"4017133","type":"CDM"},{"code":"300","type":"RC"},{"code":"86619","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":508,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Mandible 1 3 Views","code_information":[{"code":"4040111-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70100","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":185,"maximum":508,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":343},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Screw/comp Classic 19mm #12-1116","code_information":[{"code":"3253358","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":506,"gross_charge":487,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Cath/introducer-peritoneal #Pi63","code_information":[{"code":"3257115","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":506,"gross_charge":487,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":".Antigen Type, Rbc Patient Dhmc Rrmc","code_information":[{"code":"4020173","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":506,"gross_charge":487,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Pneumocystis Jiroveci Pcr Mol Detect Ma","code_information":[{"code":"4016890","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":506,"gross_charge":487,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"General Health Panel","code_information":[{"code":"4010107","type":"CDM"},{"code":"300","type":"RC"},{"code":"80050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":505,"gross_charge":486,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":341},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Fentanyl W/ Metabol  Urine Mayo","code_information":[{"code":"4011951","type":"CDM"},{"code":"300","type":"RC"},{"code":"80354","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":505,"gross_charge":486,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":341},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Galactogram Multi","code_information":[{"code":"4040300-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77054","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":185,"maximum":505,"gross_charge":486,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":326},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":185},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":341},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Commercial","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":185},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Hiv 1 Rna Quant  Uvmc","code_information":[{"code":"4016578","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":504,"gross_charge":485,"discounted_cash":364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"Commercial","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":184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Chondroitin / Hyaluronate Injection Kit","code_information":[{"code":"4079031","type":"CDM"},{"code":"250","type":"RC"},{"code":"8065183135","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":184,"maximum":2801,"gross_charge":485,"discounted_cash":364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Thyroid Stim Immunoglob Mayo","code_information":[{"code":"4016049","type":"CDM"},{"code":"300","type":"RC"},{"code":"84445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":503,"gross_charge":484,"discounted_cash":363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":324},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":340},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":".Charge Mayo Cpk Isoenz Electro","code_information":[{"code":"4017040","type":"CDM"},{"code":"300","type":"RC"},{"code":"82552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":502,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":324},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Commercial","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":184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":".Charge Dhmc Tissuelevel Iii","code_information":[{"code":"4011287-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88304","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":184,"maximum":502,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":324},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":184},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Commercial","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":184},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Lacosamide Serum   Mayo","code_information":[{"code":"4016856","type":"CDM"},{"code":"300","type":"RC"},{"code":"80235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":501,"gross_charge":482,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":323},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":183},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":338},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Commercial","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":183},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Prothrombin Gene Mutation Mayo","code_information":[{"code":"4011886","type":"CDM"},{"code":"300","type":"RC"},{"code":"81240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":501,"gross_charge":482,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":323},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":183},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":338},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Commercial","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":183},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"110mm Norimmed Speed Pin 7401-3401","code_information":[{"code":"3700062","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":501,"gross_charge":482,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":323},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":183},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":338},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Commercial","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":183},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Tm Joints Unilat Open And Closed Mouth","code_information":[{"code":"4040192","type":"CDM"},{"code":"320","type":"RC"},{"code":"70328","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":499,"gross_charge":480,"discounted_cash":360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":322},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":182},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":337},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"Commercial","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":182},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Swallowing/oral Function Evaluation Iii","code_information":[{"code":"4380032-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92610","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":182,"maximum":499,"gross_charge":480,"discounted_cash":360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":322},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":182},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":337},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"Commercial","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":182},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Bit/drill 3.5mm #310.37","code_information":[{"code":"3251581","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251581","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":498,"gross_charge":479,"discounted_cash":359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":321},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":182},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":336},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"United Healthcare","plan_name":"Commercial","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":182},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":".Charge Uvmc Chrom Anal Congenital","code_information":[{"code":"4011469","type":"CDM"},{"code":"310","type":"RC"},{"code":"88262","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":498,"gross_charge":479,"discounted_cash":359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":321},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":182},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":336},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"United Healthcare","plan_name":"Commercial","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":182},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Inj  Anes Other Peripheral Nrve/branch","code_information":[{"code":"4080308","type":"CDM"},{"code":"370","type":"RC"},{"code":"64450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":497,"gross_charge":478,"discounted_cash":359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":320},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":182},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"United Healthcare","plan_name":"Commercial","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":182},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Exc Of Inclusion Cyst Vulva Mcr Tech","code_information":[{"code":"710288","type":"CDM"},{"code":"510","type":"RC"},{"code":"56740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":496,"gross_charge":477,"discounted_cash":358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":320},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":181},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Commercial","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":181},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":".Hgb A2 & F Mayo","code_information":[{"code":"4016496","type":"CDM"},{"code":"300","type":"RC"},{"code":"83021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":496,"gross_charge":477,"discounted_cash":358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":320},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":181},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Commercial","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":181},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":".Methemoglobin  Mayo","code_information":[{"code":"4016494","type":"CDM"},{"code":"300","type":"RC"},{"code":"82657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":496,"gross_charge":477,"discounted_cash":358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":320},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":181},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Commercial","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":181},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"Pentamidine Isethionate 300 Mg Vl*","code_information":[{"code":"4070191","type":"CDM"},{"code":"250","type":"RC"},{"code":"13925051510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":181,"maximum":2801,"gross_charge":477,"discounted_cash":358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":320},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":181},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Mumps Igm Ab Mayo","code_information":[{"code":"4012259","type":"CDM"},{"code":"300","type":"RC"},{"code":"86735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":495,"gross_charge":476,"discounted_cash":357,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":319},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":181},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"Oxycodone Serum Mayo","code_information":[{"code":"4016041","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":494,"gross_charge":475,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":318},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":181},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":333},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"Us Echocardiogram Color Flow","code_information":[{"code":"4060096","type":"CDM"},{"code":"483","type":"RC"},{"code":"93325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":493,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":318},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":180},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":333},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Commercial","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":180},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180}]}]},{"description":"Chest Pa And Lat","code_information":[{"code":"4040102-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71046","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":180,"maximum":492,"gross_charge":473,"discounted_cash":355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":317},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":180},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":332},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Commercial","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":180},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180}]}]},{"description":"Chest Insp Exp 2 Views","code_information":[{"code":"4040098-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71046","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":180,"maximum":492,"gross_charge":473,"discounted_cash":355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":317},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":180},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":332},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Commercial","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":180},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180}]}]},{"description":"Inj. Anesthetic Agent; Femoral Nerve Sin","code_information":[{"code":"4080305","type":"CDM"},{"code":"370","type":"RC"},{"code":"64447","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":491,"gross_charge":472,"discounted_cash":354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":316},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":331},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":".Cyto/molecular Report  Mayo","code_information":[{"code":"4017160","type":"CDM"},{"code":"310","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":491,"gross_charge":472,"discounted_cash":354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":316},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":331},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":".Charge Rrmc Gp Verigene","code_information":[{"code":"4017324","type":"CDM"},{"code":"300","type":"RC"},{"code":"87149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":491,"gross_charge":472,"discounted_cash":354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":316},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":331},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Tray/paracentesis #Ak-00376","code_information":[{"code":"3258933","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1729","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":490,"gross_charge":471,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":316},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":331},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Commercial","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":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Hepatitis A Vaccine Inactivated","code_information":[{"code":"4077841","type":"CDM"},{"code":"636","type":"RC"},{"code":"58160082652","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":179,"maximum":2801,"gross_charge":470,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":315},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":330},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sc Joint 3 Views","code_information":[{"code":"4040227-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71130","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":179,"maximum":489,"gross_charge":470,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":315},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":330},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Commercial","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":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Avitene (Microfibrillar  Flour) 0.5 G","code_information":[{"code":"4078201","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP4078201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":489,"gross_charge":470,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":315},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":179},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":330},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Commercial","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":179},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Methylnaltraxone 12 Mg / 0.6 Ml Vial","code_information":[{"code":"4078196","type":"CDM"},{"code":"636","type":"RC"},{"code":"65649055102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":178,"maximum":2801,"gross_charge":469,"discounted_cash":352,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":314},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":329},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178}]}],"drug_information":{"unit":12,"type":"ME"}},{"description":"Us Duplex Scan Arterial Inflow Lmtd Stud","code_information":[{"code":"4040277","type":"CDM"},{"code":"920","type":"RC"},{"code":"93976","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":488,"gross_charge":469,"discounted_cash":352,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":314},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":329},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Commercial","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":178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178}]}]},{"description":"Sodium Thiosulfate 25% Vial (12.5 Gm)","code_information":[{"code":"4079056","type":"CDM"},{"code":"250","type":"RC"},{"code":"60267070550","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":178,"maximum":2801,"gross_charge":469,"discounted_cash":352,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":314},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":329},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Roth Net Retriever Mini","code_information":[{"code":"3251808","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":487,"gross_charge":468,"discounted_cash":351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":314},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":329},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Commercial","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":178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178}]}]},{"description":"System/tilift Laparoscopic #Aw16280v","code_information":[{"code":"3250949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":487,"gross_charge":468,"discounted_cash":351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":314},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":329},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Commercial","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":178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178}]}]},{"description":"Lopro S3 Blade 0270-0938","code_information":[{"code":"3700006","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":487,"gross_charge":468,"discounted_cash":351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":314},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":178},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":329},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Commercial","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":178},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178}]}]},{"description":".Immunoassay Elisa Quant Non Ab","code_information":[{"code":"4017020","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":486,"gross_charge":467,"discounted_cash":350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":313},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Commercial","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":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Proximate Reloadable Stapler Tx60b","code_information":[{"code":"3700002","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":485,"gross_charge":466,"discounted_cash":350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":327},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Reloadable Stapler","code_information":[{"code":"3700003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":485,"gross_charge":466,"discounted_cash":350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":327},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Developmental Testing Iii (Limited)45 Mi","code_information":[{"code":"4380052-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"96110","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":177,"maximum":485,"gross_charge":466,"discounted_cash":350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":327},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Screw/canc 2.5x22mm #Sp-22","code_information":[{"code":"3258588","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":484,"gross_charge":465,"discounted_cash":349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":326},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Bone Length Studies","code_information":[{"code":"4040199-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77073","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":177,"maximum":484,"gross_charge":465,"discounted_cash":349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":326},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Amoxicillin/clav Susp 600 Mg/ 5ml(200ml)","code_information":[{"code":"4077026","type":"CDM"},{"code":"250","type":"RC"},{"code":"16714029403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":177,"maximum":2801,"gross_charge":465,"discounted_cash":349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":312},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":177},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":326},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Hepatitis B Immunization","code_information":[{"code":"5010023","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP5010023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":483,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":311},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":326},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Opiates Screen Serum Mayo","code_information":[{"code":"4016538","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":483,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":311},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":326},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Rast Annuals Mayo","code_information":[{"code":"4010446","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":483,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":311},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":326},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"New patient office or other outpatient visit, 60 min","code_information":[{"code":"730161","type":"CDM"},{"code":"521","type":"RC"},{"code":"99205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":480,"gross_charge":462,"discounted_cash":347,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":310},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Lone Star Blunt 12 Mm Stay Hook","code_information":[{"code":"3700132","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":480,"gross_charge":462,"discounted_cash":347,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":310},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Cv Hip Left 1 View (Mcr Tech)","code_information":[{"code":"1700253-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73501","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":176,"maximum":480,"gross_charge":462,"discounted_cash":347,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":310},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Cv Hip Right 1 View (Mcr Tech)","code_information":[{"code":"1700254-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73501","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":176,"maximum":480,"gross_charge":462,"discounted_cash":347,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":310},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":176},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Commercial","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":176},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":".Charge Mayo Metaphase 15-19 Chrom Analy","code_information":[{"code":"4016958","type":"CDM"},{"code":"310","type":"RC"},{"code":"88262","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":175,"maximum":479,"gross_charge":461,"discounted_cash":346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":309},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":175},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Commercial","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":175},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Hand Left 2 Views","code_information":[{"code":"4040533-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":175,"maximum":479,"gross_charge":461,"discounted_cash":346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":309},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":175},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Commercial","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":175},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Hand Right 2 Views","code_information":[{"code":"4040534-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":175,"maximum":479,"gross_charge":461,"discounted_cash":346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":309},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":175},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":324},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Commercial","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":175},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Special Proc1 Nurse 1-30","code_information":[{"code":"3210301","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3210301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":175,"maximum":478,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":308},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":175},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":323},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Commercial","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":175},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Barium Enema","code_information":[{"code":"4040149-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74270","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":175,"maximum":478,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":308},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":175},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":323},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Commercial","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":175},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Electrode/hf Resection #A22255c","code_information":[{"code":"3259342","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259342","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":476,"gross_charge":458,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":174},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":322},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Commercial","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":174},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Us Echocardiogram Special","code_information":[{"code":"4060095","type":"CDM"},{"code":"483","type":"RC"},{"code":"93320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":476,"gross_charge":458,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":174},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":322},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Commercial","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":174},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Feces Total Reducing Substances Mayo","code_information":[{"code":"4010426","type":"CDM"},{"code":"300","type":"RC"},{"code":"84376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":475,"gross_charge":457,"discounted_cash":343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":306},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":174},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Commercial","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":174},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Pneumococcal Antibody Panel Mayo","code_information":[{"code":"4017784","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":475,"gross_charge":457,"discounted_cash":343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":306},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":174},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Commercial","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":174},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Cystine 24hr Urine Mayo","code_information":[{"code":"4010425","type":"CDM"},{"code":"300","type":"RC"},{"code":"82136","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":475,"gross_charge":457,"discounted_cash":343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":306},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":174},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Commercial","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":174},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Bit/drill 3.5mm #310.38","code_information":[{"code":"3255533","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3255533","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":474,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":306},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":320},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":".Antigen Blood Typing Dhmc","code_information":[{"code":"4017169","type":"CDM"},{"code":"300","type":"RC"},{"code":"86902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":474,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":306},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":320},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Ortho-cord #223114","code_information":[{"code":"3259073","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":473,"gross_charge":455,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Vcare Small Cup 32mm","code_information":[{"code":"32510005","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":473,"gross_charge":455,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Vcare Med Cup","code_information":[{"code":"3700457","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700457","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":473,"gross_charge":455,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Vcare Large Cup","code_information":[{"code":"3700456","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700456","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":473,"gross_charge":455,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Tramadol Urine Mayo","code_information":[{"code":"4012285","type":"CDM"},{"code":"300","type":"RC"},{"code":"80373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":473,"gross_charge":455,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Cementralizer 10.5mm #1376-38-000","code_information":[{"code":"3251613","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":472,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"United Healthcare","plan_name":"Commercial","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":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Diazepam Rectal Gel 2.5 Mg","code_information":[{"code":"4077836","type":"CDM"},{"code":"250","type":"RC"},{"code":"68682065020","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":173,"maximum":2801,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":173},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":319},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Injection Procedure Ankle Arthrograpy","code_information":[{"code":"4040417","type":"CDM"},{"code":"761","type":"RC"},{"code":"27648","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":471,"gross_charge":453,"discounted_cash":340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"35mm Reflection Drill","code_information":[{"code":"3700105","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":471,"gross_charge":453,"discounted_cash":340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":".Enterovirus Csf Pcr Uvmc","code_information":[{"code":"4011922","type":"CDM"},{"code":"300","type":"RC"},{"code":"87498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":471,"gross_charge":453,"discounted_cash":340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Hip Left And Pelvis","code_information":[{"code":"4040537-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":172,"maximum":471,"gross_charge":453,"discounted_cash":340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Hip Right And Pelvis","code_information":[{"code":"4040538-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":172,"maximum":471,"gross_charge":453,"discounted_cash":340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":304},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":318},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Endcap  #475.905","code_information":[{"code":"3251848","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Endcap 3.0mmx4.0mm #475.900","code_information":[{"code":"3251844","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw/cortex 2.4 401.514.96","code_information":[{"code":"3250578","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw/cortex 2.4mmx10mm  401.510.96","code_information":[{"code":"3259748","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw/cortex 2.4mmx11mm  401.511.96","code_information":[{"code":"3259749","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":".Rh Dhmc","code_information":[{"code":"4020147","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":".Rbc Antigen Dhmc","code_information":[{"code":"4016905","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Evaluation High Complexity Mv","code_information":[{"code":"4090659-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97163","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Evaluation High Complexity","code_information":[{"code":"4090260-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97163","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Evaluation High Complexity Bf","code_information":[{"code":"4090220-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97163","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":172,"maximum":470,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":303},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":172},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Commercial","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":172},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Hovermat Single Pt Use #Hmspu-hlf","code_information":[{"code":"3259614","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259614","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":469,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":171},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":171},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171}]}]},{"description":"Set/crawford Lacrimal Intubation 280185","code_information":[{"code":"3253650","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":469,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":171},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":171},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171}]}]},{"description":"Adderall Serum  Mayo","code_information":[{"code":"4017899","type":"CDM"},{"code":"300","type":"RC"},{"code":"80324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":469,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":171},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":317},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":171},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171}]}]},{"description":"Lapilock Met Cup Perc","code_information":[{"code":"3700428","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700428","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":468,"gross_charge":450,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":171},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":171},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"4080329","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62322","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":468,"gross_charge":450,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":302},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":171},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":316},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Commercial","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":171},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171}]}]},{"description":"Expressew Autocapturing Tool","code_information":[{"code":"3700449","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700449","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":170,"maximum":466,"gross_charge":448,"discounted_cash":336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":170},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Set/cath Balloon Chol","code_information":[{"code":"3254357","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254357","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":170,"maximum":466,"gross_charge":448,"discounted_cash":336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":170},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Level Ii-limited","code_information":[{"code":"3230202","type":"CDM"},{"code":"450","type":"RC"},{"code":"99282","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":170,"maximum":465,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":170},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":314},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Commercial","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":170},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Kit Multi-lumen Arrow","code_information":[{"code":"3252446","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1751","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":170,"maximum":465,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":170},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":314},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Commercial","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":170},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Level Ii-limited Mod 25","code_information":[{"code":"3230222-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99282","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":170,"maximum":465,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":300},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":170},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":314},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Commercial","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":170},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Screw/cortical 3.5x12mm #Cs12000","code_information":[{"code":"3258589","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":464,"gross_charge":446,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":299},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Peg-full Threaded 20mm #Fp-20","code_information":[{"code":"3259461","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":464,"gross_charge":446,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":299},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Screw/canc 2.5x20mm #Sp-20000","code_information":[{"code":"3258587","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":464,"gross_charge":446,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":299},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Stryker Cement Mixer 0306-563-000","code_information":[{"code":"3257141","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":464,"gross_charge":446,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":299},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":313},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":".3 Rbc Ag Neg Unitarc","code_information":[{"code":"4016940","type":"CDM"},{"code":"300","type":"RC"},{"code":"86902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":462,"gross_charge":444,"discounted_cash":333,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":298},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Eval Speech Production W Comprehension","code_information":[{"code":"4380016-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92523","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":169,"maximum":462,"gross_charge":444,"discounted_cash":333,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":298},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Fistula Sinus Study","code_information":[{"code":"4040202-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76080","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":169,"maximum":462,"gross_charge":444,"discounted_cash":333,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":298},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":169},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Commercial","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":169},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Daily Hospital Mgt Of Epidural Or Subara","code_information":[{"code":"4080309","type":"CDM"},{"code":"370","type":"RC"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":461,"gross_charge":443,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":297},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":311},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Commercial","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":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"D Dimer","code_information":[{"code":"4011314","type":"CDM"},{"code":"300","type":"RC"},{"code":"85379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":460,"gross_charge":442,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Drill Bit Gold 2.5x180mm 310.23","code_information":[{"code":"3700357","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700357","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":460,"gross_charge":442,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Central Venous Access","code_information":[{"code":"4080265","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080265","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":460,"gross_charge":442,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Marker/tissue Ultracor Gel #Gmutc005t","code_information":[{"code":"3250646","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4648","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":460,"gross_charge":442,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Si Joints Xray 1 To 2 Views","code_information":[{"code":"4040460-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72200","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":168,"maximum":460,"gross_charge":442,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Drill Bit 2.0 Arthrex","code_information":[{"code":"3700173","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":459,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Ehrlic Anaplasm Mol Detect Pcr Mayo","code_information":[{"code":"4016411","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":459,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":296},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":168},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Cv Hip Left And Pelvis (Mcr Tech)","code_information":[{"code":"1700226-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":167,"maximum":458,"gross_charge":440,"discounted_cash":330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":295},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":167},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":309},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":167},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Cv Hip Right And Pelvis (Mcr Tech)","code_information":[{"code":"1700227-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":167,"maximum":458,"gross_charge":440,"discounted_cash":330,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":295},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":167},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":309},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":167},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Cutter/bone Full Radius 5.5","code_information":[{"code":"3251977","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":457,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":167},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":308},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":167},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Punch/disposable #Ar1927pbs","code_information":[{"code":"3250865","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250865","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":457,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":167},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":308},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":167},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Ring/c-section Retractor","code_information":[{"code":"3251904","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251904","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":457,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":167},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":308},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":167},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Brush Biopsy Set","code_information":[{"code":"3700104","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":457,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":167},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":308},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Commercial","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":167},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Stapler/skin Premium 35w #059037","code_information":[{"code":"3253627","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":456,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Tc-99m Sulfur Colloid Oral","code_information":[{"code":"4070124","type":"CDM"},{"code":"250","type":"RC"},{"code":"A9541","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":456,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"K-wire Peri-lock 1.6mm","code_information":[{"code":"3700586","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":454,"gross_charge":437,"discounted_cash":328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":293},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Bit/drill 2.0mm Ns #310.19","code_information":[{"code":"3700049","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700049","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":454,"gross_charge":437,"discounted_cash":328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":293},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Hip Or Right During Operative Procedure","code_information":[{"code":"4040542-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":166,"maximum":454,"gross_charge":437,"discounted_cash":328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":293},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Hip Or Left During Operative Procedure","code_information":[{"code":"4040541-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":166,"maximum":454,"gross_charge":437,"discounted_cash":328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":293},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":307},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Moderate Conscious Sedation Add 15 Min","code_information":[{"code":"3231335","type":"CDM"},{"code":"370","type":"RC"},{"code":"99157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":453,"gross_charge":436,"discounted_cash":327,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Orbits Pre Mri","code_information":[{"code":"4040124-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"70030","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":166,"maximum":453,"gross_charge":436,"discounted_cash":327,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":".Tiss Special Stain Mayo","code_information":[{"code":"4012235-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88312","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":166,"maximum":453,"gross_charge":436,"discounted_cash":327,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":166},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"United Healthcare","plan_name":"Commercial","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":166},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"Drill/flexible 25mm #7136-2925","code_information":[{"code":"3259208","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Screw/acet 25mm #7133-2525","code_information":[{"code":"3257862","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Screw/acet 20mm #7133-2520","code_information":[{"code":"3257890","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Screw/acet 15mm #7133-2515","code_information":[{"code":"3258538","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Screw/acet 35mm #7133-2535","code_information":[{"code":"3257903","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Screw/acet 30mm #7133-2530","code_information":[{"code":"3257863","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":".Addtional Testing Virus Id","code_information":[{"code":"4016694","type":"CDM"},{"code":"300","type":"RC"},{"code":"87253","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":".Charge Mayo Immunofix E-phoresis Serum","code_information":[{"code":"4011521","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":".Dhmc Immunohistochem Additional","code_information":[{"code":"4017151-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88341","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":165,"maximum":452,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":292},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":".Charge Ctfr Gene Com Variants May","code_information":[{"code":"4017973","type":"CDM"},{"code":"300","type":"RC"},{"code":"81220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":451,"gross_charge":434,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":291},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Bb-tak-mtp","code_information":[{"code":"3700325","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":450,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Bb-tak","code_information":[{"code":"3700165","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":450,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Guidewire 1.4mm","code_information":[{"code":"3700559","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700559","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":450,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":".Hcv Rna Detect Quant By Rt Pcr Mayo","code_information":[{"code":"4011833","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":450,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Carboplatin 450 Mg Vial","code_information":[{"code":"4076235","type":"CDM"},{"code":"636","type":"RC"},{"code":"70342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":450,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}],"drug_information":{"unit":450,"type":"ME"}},{"description":"Ampip Amyloid Protein Id Mayo","code_information":[{"code":"4017236-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88313","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":165,"maximum":450,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":165},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":304},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Commercial","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":165},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Chemotherapy Im Or Sq Hormonal","code_information":[{"code":"3290104","type":"CDM"},{"code":"331","type":"RC"},{"code":"96402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":448,"gross_charge":431,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":164},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":303},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Commercial","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":164},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"Ligiclip Endoscopic  Appliers","code_information":[{"code":"3700147","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":448,"gross_charge":431,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":164},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":303},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Commercial","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":164},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"Ultrasound Transrectal","code_information":[{"code":"710072","type":"CDM"},{"code":"402","type":"RC"},{"code":"76872","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":448,"gross_charge":431,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":164},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":303},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Commercial","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":164},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":".Cytologybody Fluid Brush","code_information":[{"code":"4011507-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88104","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":164,"maximum":448,"gross_charge":431,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":164},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":303},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Commercial","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":164},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"Cytology-sputum","code_information":[{"code":"4010356-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88104","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":164,"maximum":448,"gross_charge":431,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":164},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":303},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Commercial","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":164},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"Leptospira Ab Igm  Mayo","code_information":[{"code":"4011033","type":"CDM"},{"code":"300","type":"RC"},{"code":"86720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":447,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":163},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"Commercial","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":163},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Ghb Gamma Hyroxybutyric Acid Mayo","code_information":[{"code":"4016882","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":445,"gross_charge":428,"discounted_cash":321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":287},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":163},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":300},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"Commercial","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":163},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Knee Left 4 Or More","code_information":[{"code":"4040549-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73564","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":163,"maximum":445,"gross_charge":428,"discounted_cash":321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":287},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":163},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":300},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"Commercial","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":163},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Knee Right 4 Or More","code_information":[{"code":"4040550-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73564","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":163,"maximum":445,"gross_charge":428,"discounted_cash":321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":287},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":163},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":300},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"Commercial","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":163},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Endoscrub Ii Tubing, 4mm, 0 Deg","code_information":[{"code":"3258774","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":443,"gross_charge":426,"discounted_cash":320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":286},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":299},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Niti G-wire Trocar .062x5.91","code_information":[{"code":"3700235","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":442,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":285},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Trocar Guide Wire .045 Nitinol","code_information":[{"code":"3700232","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":442,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":285},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Drill Bit 2.7x100mm 310.26","code_information":[{"code":"3251451","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251451","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":442,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":285},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Cath/abd Sensor","code_information":[{"code":"3255730","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":442,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":285},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":162},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Peg-smooth 18mm #P18","code_information":[{"code":"3258584","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":161,"maximum":441,"gross_charge":424,"discounted_cash":318,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":284},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":161},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Peg-threaded 20mm #Tp20","code_information":[{"code":"3258586","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":161,"maximum":441,"gross_charge":424,"discounted_cash":318,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":284},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":161},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":298},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Manganese Whole Blood Mayo","code_information":[{"code":"4017963","type":"CDM"},{"code":"300","type":"RC"},{"code":"83785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":161,"maximum":440,"gross_charge":423,"discounted_cash":317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":284},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":161},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"Commercial","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":161},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Fosaprepitant 150 Mg Vial","code_information":[{"code":"4078271","type":"CDM"},{"code":"636","type":"RC"},{"code":"63061","type":"CPT","modifier":"0"}],"standard_charges":[{"setting":"outpatient","modifier_code":["0"],"minimum":160,"maximum":439,"gross_charge":422,"discounted_cash":317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":283},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":160},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":296},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Commercial","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":160},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Labor Check","code_information":[{"code":"3190115","type":"CDM"},{"code":"721","type":"RC"},{"code":"99211","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":438,"gross_charge":421,"discounted_cash":316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":160},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":296},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Commercial","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":160},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Cholesterol Body Fluid Mayo","code_information":[{"code":"4017621","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":438,"gross_charge":421,"discounted_cash":316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":160},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":296},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Commercial","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":160},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Drill Bit 2.0 X 100mm","code_information":[{"code":"3700897","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":437,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":160},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":295},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Commercial","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":160},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Drill Bit 3.5x110mm","code_information":[{"code":"3700809","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700809","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":437,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":160},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":295},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Commercial","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":160},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Guidewire 1.1mm X 160mm","code_information":[{"code":"3700510","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":437,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":282},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":160},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":295},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Commercial","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":160},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Screw/acet Canc 6.5x30mm #7133-6530","code_information":[{"code":"3256677","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":435,"gross_charge":418,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":159},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":293},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Commercial","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":159},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Hiv 1 Rna Quant Reflex Geno Drug Res","code_information":[{"code":"4016080","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":435,"gross_charge":418,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":159},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":293},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Commercial","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":159},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Serotonin Mayo","code_information":[{"code":"4011477","type":"CDM"},{"code":"300","type":"RC"},{"code":"84260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":435,"gross_charge":418,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":159},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":293},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Commercial","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":159},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Scoliosis","code_information":[{"code":"4040205-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72081","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":159,"maximum":435,"gross_charge":418,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":159},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":293},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Commercial","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":159},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Balloon Inflatable Dual 9cm","code_information":[{"code":"3251676","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251676","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":434,"gross_charge":417,"discounted_cash":313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":293},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"3d Rendering Req Image Postprocessing","code_information":[{"code":"4060217-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76377","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":158,"maximum":434,"gross_charge":417,"discounted_cash":313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":280},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":293},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Emg Anal/urethral Sphincter Mcr","code_information":[{"code":"710267","type":"CDM"},{"code":"510","type":"RC"},{"code":"51784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":433,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":292},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"4080266","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":433,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":292},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Blade Incisor 3.5mm","code_information":[{"code":"3255067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":433,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":292},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Cv Knee Left 4 Views (Mcr Tech)","code_information":[{"code":"1700234-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73564","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":158,"maximum":433,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":292},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Cv Knee Right 4 Views (Mcr Tech)","code_information":[{"code":"1700235-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73564","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":158,"maximum":433,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":279},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":292},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Guide Wire #03.010.115","code_information":[{"code":"3251242","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":432,"gross_charge":415,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Coxsackie Csf Pcr Panel   Mayo","code_information":[{"code":"4016296","type":"CDM"},{"code":"300","type":"RC"},{"code":"87498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":432,"gross_charge":415,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Coxsackie Enterovirus Molec Detect Mayo","code_information":[{"code":"4016297","type":"CDM"},{"code":"300","type":"RC"},{"code":"87498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":432,"gross_charge":415,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":158},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Commercial","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":158},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Drill Bit #03.130.202","code_information":[{"code":"3251962","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":431,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Commercial","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":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Kit/introducer 10fr #Hmp-009-10","code_information":[{"code":"3259736","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259736","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":431,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Commercial","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":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Reload For Prox Linear Cutter Grn","code_information":[{"code":"3250848","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":431,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":278},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Commercial","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":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Mitragynine (Qual) Urine  Mayo","code_information":[{"code":"4018031","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":430,"gross_charge":413,"discounted_cash":310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":277},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":290},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Commercial","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":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Epinephrine Anaphylaxis Pedi Kit 1mg/ml","code_information":[{"code":"4070179","type":"CDM"},{"code":"636","type":"RC"},{"code":"71754000101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":157,"maximum":2801,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Peg/threaded 14mm #Tp-14","code_information":[{"code":"3258978","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":428,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Nm Tc99m Sulfur Colloid","code_information":[{"code":"4060333","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9541","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":428,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Spine Lumb Xray 1 View","code_information":[{"code":"4040186-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72020","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":157,"maximum":428,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Spine Cerv Xray 1view","code_information":[{"code":"4040177-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72020","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":157,"maximum":428,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Spine Thoracic Xray 1 View","code_information":[{"code":"4040174-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"72020","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":157,"maximum":428,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":276},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":157},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Peg-smooth 16mm #P-16","code_information":[{"code":"3259057","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw/cortical 3.5x10mm #Cs-10","code_information":[{"code":"3258611","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw/cortical 3.5x14mm #Cs-14","code_information":[{"code":"3258590","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Peg-threaded 18mm #Tp18","code_information":[{"code":"3258603","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Peg-full Threaded 18mm #Fp-18","code_information":[{"code":"3258622","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Peg/threaded 16mm","code_information":[{"code":"3258923","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Peg-full Threaded 16mm #Fp-16","code_information":[{"code":"3258624","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Peg-full Threaded 22mm #Fp-22","code_information":[{"code":"3258633","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Peg-threaded 22mm #Tp-22","code_information":[{"code":"3258614","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw 3.5 Cortical 20 Mm","code_information":[{"code":"3700398","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw Cortical 3.5 20 Mm","code_information":[{"code":"3700367","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Drill Bit/cann 2.0x125mm 310.21","code_information":[{"code":"3701101","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Synthetic Cannabinoid Metabolites Mayo","code_information":[{"code":"4017787","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":427,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":275},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":156},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":289},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Commercial","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":156},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Cast/long Leg Fiberglas","code_information":[{"code":"3250266","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250266","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":155,"maximum":424,"gross_charge":408,"discounted_cash":306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":273},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":155},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"Commercial","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":155},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Fetal Non-stress Test","code_information":[{"code":"4030107","type":"CDM"},{"code":"729","type":"RC"},{"code":"59025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":155,"maximum":424,"gross_charge":408,"discounted_cash":306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":273},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":155},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"Commercial","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":155},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"21 Hydroxylase Antibody Mayo","code_information":[{"code":"4016372","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":155,"maximum":424,"gross_charge":408,"discounted_cash":306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":273},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":155},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"Commercial","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":155},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Galectin 3 Mayo","code_information":[{"code":"4017617","type":"CDM"},{"code":"300","type":"RC"},{"code":"82777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":155,"maximum":423,"gross_charge":407,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":273},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":155},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Commercial","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":155},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Chorionic Gonadotropin 10000 Units Vial","code_information":[{"code":"4078924","type":"CDM"},{"code":"636","type":"RC"},{"code":"52031","type":"CPT","modifier":"510"}],"standard_charges":[{"setting":"outpatient","modifier_code":["510"],"minimum":154,"maximum":422,"gross_charge":406,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":285},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}],"drug_information":{"unit":10000,"type":"UN"}},{"description":"Occupational Health Training Fee","code_information":[{"code":"5010025","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":422,"gross_charge":406,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":272},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":285},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Cath/cholangiogram Operative #M55","code_information":[{"code":"3257114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":421,"gross_charge":405,"discounted_cash":304,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":271},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":284},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Cath/midline 18g Reinforce Tip Pwrglide","code_information":[{"code":"3252005","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1751","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":420,"gross_charge":404,"discounted_cash":303,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":271},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":284},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","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":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Nt-pro Bnp","code_information":[{"code":"4011995","type":"CDM"},{"code":"300","type":"RC"},{"code":"83880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":420,"gross_charge":404,"discounted_cash":303,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":271},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":284},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","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":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":".Charge Mayo Infliximab Ab","code_information":[{"code":"4017019","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":420,"gross_charge":404,"discounted_cash":303,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":271},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":284},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","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":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Swallowing/oral Funct Treatment Iii 45m","code_information":[{"code":"4380042-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92526","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":154,"maximum":420,"gross_charge":404,"discounted_cash":303,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":271},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":154},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":284},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","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":154},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Zipwire .035 Straight","code_information":[{"code":"3251789","type":"CDM"},{"code":"270","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":419,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":270},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":283},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Brace/post-op Knee","code_information":[{"code":"3700716","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1833","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":419,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":270},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":283},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Endomysial Igg Ab Mayo","code_information":[{"code":"4016054","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":419,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":270},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":283},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Cuff/cryo Comp Dressing Xlrg Shoulder","code_information":[{"code":"3257951","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257951","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":419,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":270},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":283},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Incisor/5.5mm #4191","code_information":[{"code":"3256588","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":419,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":270},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":283},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":".Surg Tissue Level Vi Uvmc Chg","code_information":[{"code":"4017924","type":"CDM"},{"code":"310","type":"RC"},{"code":"88309","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":418,"gross_charge":402,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":269},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Commercial","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":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":".Charge Infliximab","code_information":[{"code":"4018037","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":418,"gross_charge":402,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":269},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":153},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Commercial","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":153},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Bladder Instl Anticarc Agent Mcr Tech","code_information":[{"code":"710167","type":"CDM"},{"code":"510","type":"RC"},{"code":"51720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":417,"gross_charge":401,"discounted_cash":301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":269},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":282},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"Commercial","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":152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":".Lupus Anticoag Drvvt Mayo","code_information":[{"code":"4011918","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":416,"gross_charge":400,"discounted_cash":300,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":268},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":281},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"Commercial","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":152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Rmv Tun Cv Acc Dev Wo Port Tech","code_information":[{"code":"710251","type":"CDM"},{"code":"510","type":"RC"},{"code":"36590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":415,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":267},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":280},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"Commercial","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":152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":".Herpes Simplex  Pcr Uvmc","code_information":[{"code":"4011811","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":415,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":267},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":280},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"Commercial","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":152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Hand Right 1 View","code_information":[{"code":"4040532-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":152,"maximum":415,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":267},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":280},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"Commercial","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":152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Hand Left 1 View","code_information":[{"code":"4040531-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":152,"maximum":415,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":267},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":152},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":280},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"Commercial","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":152},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Lead Introducer #4009-sb8","code_information":[{"code":"3257293","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257293","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":414,"gross_charge":398,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":267},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"Commercial","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":151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Blade 2.0 Full Radius","code_information":[{"code":"3255734","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255734","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":413,"gross_charge":397,"discounted_cash":298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":266},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Commercial","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":151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Blade 3.5 Full Radius","code_information":[{"code":"3251976","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":413,"gross_charge":397,"discounted_cash":298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":266},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Commercial","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":151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Blade Incisor 4.5mm","code_information":[{"code":"3255070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":413,"gross_charge":397,"discounted_cash":298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":266},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Commercial","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":151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Pregnenolone   Mayo","code_information":[{"code":"4016697","type":"CDM"},{"code":"300","type":"RC"},{"code":"84140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":413,"gross_charge":397,"discounted_cash":298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":266},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":151},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":279},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Commercial","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":151},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Tube/vent Reuter Bobbin #1027015","code_information":[{"code":"3259746","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259746","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":412,"gross_charge":396,"discounted_cash":297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":265},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":278},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"CP17543256209724939","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62322","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":411,"gross_charge":395,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":265},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Bit Drill 4.0","code_information":[{"code":"3259920","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":411,"gross_charge":395,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":265},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Drill Bit 4.8 #2129-57-016","code_information":[{"code":"3259816","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259816","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":411,"gross_charge":395,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":265},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Commercial","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":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Foot Strap Guhl Ankle Distrator","code_information":[{"code":"3700250","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":410,"gross_charge":394,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":264},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Commercial","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":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":".Charge Mayo Org Refer For Id Anaerobe","code_information":[{"code":"4018016","type":"CDM"},{"code":"300","type":"RC"},{"code":"87076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":410,"gross_charge":394,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":264},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Commercial","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":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Fentanyl 100 Mcg/hr Patch","code_information":[{"code":"4074434","type":"CDM"},{"code":"250","type":"RC"},{"code":"60505700902","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":150,"maximum":2801,"gross_charge":394,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":264},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":150},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Rast Stinging Insects Mayo","code_information":[{"code":"4016116","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":408,"gross_charge":392,"discounted_cash":294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":263},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":149},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":275},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"Commercial","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":149},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":".Charge Cortisol Free Mayo","code_information":[{"code":"4017059","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":407,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":149},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Hypoglycemic Agent Screen Mayo","code_information":[{"code":"4016211","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":407,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":262},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":149},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Non-invasive Pressure Ventilation/bipap","code_information":[{"code":"4170152","type":"CDM"},{"code":"410","type":"RC"},{"code":"94660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Cpap","code_information":[{"code":"4170072","type":"CDM"},{"code":"410","type":"RC"},{"code":"94660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Iv Infusion Sequential New Drug Er","code_information":[{"code":"3230218","type":"CDM"},{"code":"450","type":"RC"},{"code":"96367","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Iv Infusion Sequential New Drug Clinic","code_information":[{"code":"3290203","type":"CDM"},{"code":"260","type":"RC"},{"code":"96367","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Iv Infus Sequential New Drug Er 59 Mod","code_information":[{"code":"3231340-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96367","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Iv Infus Sequential New Drug Clin 59mod","code_information":[{"code":"3290417-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96367","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Evaluation High Complexity Ot","code_information":[{"code":"4390021-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97167","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":148,"maximum":406,"gross_charge":390,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":274},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Pin/guide Threaded 230mm #11-0016","code_information":[{"code":"3257014","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3257014","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":405,"gross_charge":389,"discounted_cash":292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":273},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"Commercial","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":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Levothyroxine 100 Mcg Vial","code_information":[{"code":"4078359","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323064907","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":148,"maximum":2801,"gross_charge":389,"discounted_cash":292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":273},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Amino Acids Plasma Mayo","code_information":[{"code":"4016186","type":"CDM"},{"code":"300","type":"RC"},{"code":"82139","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":404,"gross_charge":388,"discounted_cash":291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":260},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Bit/drill 2.0","code_information":[{"code":"3257621","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":404,"gross_charge":388,"discounted_cash":291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":260},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Followers/heyman 10-24fr","code_information":[{"code":"3258912","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Hessburg-barron Vacuum Trephine 8.0mm","code_information":[{"code":"3254469","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254469","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Expresscrew Iii Auto Capture","code_information":[{"code":"3251495","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Stent/percuflex Ureteral 4.8f X 24cm","code_information":[{"code":"3700110","type":"CDM"},{"code":"278","type":"RC"},{"code":"C2617","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Ganglioside Antibody Panel Mayo","code_information":[{"code":"4017813","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Kit/mst 5fr Dual #0738950","code_information":[{"code":"3250404","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Kit/mst 6fr Triple #0738960","code_information":[{"code":"3250405","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250405","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":402,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":272},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"New patient office or other outpatient visit, 45 min","code_information":[{"code":"730007","type":"CDM"},{"code":"521","type":"RC"},{"code":"99204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":401,"gross_charge":386,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":259},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":147},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":271},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Commercial","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":147},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"I&d Bartholin's Gland Abscess Mcr Tech","code_information":[{"code":"710282","type":"CDM"},{"code":"510","type":"RC"},{"code":"56420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":400,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Blade Thin Osteo 8x3","code_information":[{"code":"3700439","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700439","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":400,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Brivaracetam Plasma Mayo","code_information":[{"code":"4017844","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":400,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Sars-cov-2/flu/rsv Pcr","code_information":[{"code":"4017766","type":"CDM"},{"code":"300","type":"RC"},{"code":"87637","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":400,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":".Cytology Fna  Unassisted Dhmc","code_information":[{"code":"4017039-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88173","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":146,"maximum":400,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":258},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Set/fms Patient #284549","code_information":[{"code":"3259730","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":399,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":257},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":".Charge Dhmc Tissuelevel Iv","code_information":[{"code":"4011288-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88305","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":146,"maximum":399,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":257},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":146},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":270},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"Commercial","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":146},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":".Charge Dna Probe","code_information":[{"code":"4011835","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":".Charge Uvmc Hcv Gen Refr Test","code_information":[{"code":"4010170","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":".Charge Fish","code_information":[{"code":"4018007","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Quick-core Biopsy Needle Set","code_information":[{"code":"3251369","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251369","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Quick-core Biopsy Needle Set 18x15","code_information":[{"code":"3250376","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250376","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Quick-core Biopsy Needle Set 18x15x20t","code_information":[{"code":"3251422","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Quick-core Biopsy Needle Set 18x9x20t","code_information":[{"code":"3250976","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Quick-core Biopsy Needle Set 20x15","code_information":[{"code":"3250378","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250378","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Arthrogram Wrist","code_information":[{"code":"4040155-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73115","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":145,"maximum":397,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":256},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":268},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Brace/transition Elbow","code_information":[{"code":"3700694","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3760","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":396,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Mic Peg Pull Method Kit 20fr","code_information":[{"code":"3700663","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700663","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":396,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":".Dat Poly Igg C3 Broad Spectr Dhmc","code_information":[{"code":"4016555","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":396,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Pack/custom General Laparoscopy","code_information":[{"code":"3211510","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211510","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":396,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Cognitive-perceptual Evaluation","code_information":[{"code":"4390294-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"96116","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":145,"maximum":396,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":145},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":145},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"2.7 Full Radius Blade","code_information":[{"code":"3700023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":395,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":"4.2 Curved Ultraagressive Blade","code_information":[{"code":"3700026","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":395,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":".Charge Cortisol Total Mayo","code_information":[{"code":"4016390","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":395,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":"Bartonella Species By Pcr  Mayo","code_information":[{"code":"4017181","type":"CDM"},{"code":"300","type":"RC"},{"code":"87801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":395,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":".Vzv Varicella Zoster Uvmc","code_information":[{"code":"4011942","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":395,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":"Staples/multifire Ta55-4.8 #015716","code_information":[{"code":"3254253","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254253","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":395,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":255},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":267},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":".Interphase Insitu Hybrid 100-300 Mayo","code_information":[{"code":"4017055","type":"CDM"},{"code":"300","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":394,"gross_charge":379,"discounted_cash":284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":254},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":266},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":"Chemo Infusion Each Additional Hour","code_information":[{"code":"3290101","type":"CDM"},{"code":"335","type":"RC"},{"code":"96415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":393,"gross_charge":378,"discounted_cash":284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":253},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":265},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":"Chromogranin A Serum Mayo","code_information":[{"code":"4016070-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"86316","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":144,"maximum":393,"gross_charge":378,"discounted_cash":284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":253},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":144},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":265},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Commercial","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":144},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144}]}]},{"description":"Mammography, screening, bilateral","code_information":[{"code":"4040239-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77067","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":143,"maximum":392,"gross_charge":377,"discounted_cash":283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":253},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Mammography, screening, bilateral","code_information":[{"code":"4040233-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77067","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":143,"maximum":392,"gross_charge":377,"discounted_cash":283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":253},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Irrigation Of Implanted Venous Access","code_information":[{"code":"3290121","type":"CDM"},{"code":"335","type":"RC"},{"code":"96523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Cup/uter Elev Pro Medium 35mm","code_information":[{"code":"3700955","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Cup/uter Elev Pro Large 37mm","code_information":[{"code":"3700980","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Cup/uter Elev Pro Small 32mm","code_information":[{"code":"3700979","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":".Charge Mayo Soluble Fibrin Monomer","code_information":[{"code":"4016350","type":"CDM"},{"code":"300","type":"RC"},{"code":"85366","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":".Resp Virus ,Mrt, Am Uvmc","code_information":[{"code":"4016885","type":"CDM"},{"code":"300","type":"RC"},{"code":"87631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Mr Brain Wo Reduced 1 6 Sequence","code_information":[{"code":"4181208-TC","type":"CDM"},{"code":"610","type":"RC"},{"code":"70551","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":143,"maximum":391,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":252},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":264},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Exc Face Les Sc < 2cm Mcr Tech","code_information":[{"code":"710406","type":"CDM"},{"code":"510","type":"RC"},{"code":"21011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":390,"gross_charge":375,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":251},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":263},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"2,3 Dinor 11beta Prostaglan F2 Alpha Ua","code_information":[{"code":"4016434","type":"CDM"},{"code":"300","type":"RC"},{"code":"84150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":390,"gross_charge":375,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":251},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":143},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":263},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Commercial","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":143},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Heated Breathing Tube Chamber Airvo Kit","code_information":[{"code":"3700048","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4604","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":389,"gross_charge":374,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":251},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":142},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":263},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Commercial","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":142},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Speech/language Treatment Iii Per 45 Min","code_information":[{"code":"4380022-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92507","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":142,"maximum":389,"gross_charge":374,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":251},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":142},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":263},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Commercial","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":142},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Kit/vortex Re-use #7127-0071","code_information":[{"code":"3258664","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258664","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":387,"gross_charge":372,"discounted_cash":279,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":249},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":261},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141}]}]},{"description":"Reload For Tx60b","code_information":[{"code":"3252126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":387,"gross_charge":372,"discounted_cash":279,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":249},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":261},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141}]}]},{"description":"Varicella Zoster Pcr Uvmc","code_information":[{"code":"4017333","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":386,"gross_charge":371,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":249},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":260},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Commercial","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":141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141}]}]},{"description":"Interleukin 6 Serum Mayo","code_information":[{"code":"4017655","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":386,"gross_charge":371,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":249},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":260},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Commercial","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":141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141}]}]},{"description":"Methohexital 500 Mg Vial","code_information":[{"code":"4070005","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023010501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":141,"maximum":2801,"gross_charge":370,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":248},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":141},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":260},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Fosfomycin Tromethamine 3 Gm Oral Packet","code_information":[{"code":"4070237","type":"CDM"},{"code":"250","type":"RC"},{"code":"70700026894","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":140,"maximum":2801,"gross_charge":369,"discounted_cash":277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":259},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Guide Wire #310.243","code_information":[{"code":"3258808","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":384,"gross_charge":369,"discounted_cash":277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":259},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"..Enterovirus Pcr Csf Uvmc","code_information":[{"code":"4017331","type":"CDM"},{"code":"300","type":"RC"},{"code":"87498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":384,"gross_charge":369,"discounted_cash":277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":259},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"32blade/inciser 4.5mm #7205313","code_information":[{"code":"3255042","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":384,"gross_charge":369,"discounted_cash":277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":259},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"Endoscrub Ii Sheath  4mm,30 Deg","code_information":[{"code":"3258773","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258773","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":384,"gross_charge":369,"discounted_cash":277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":259},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"Truvada 200 Mg / 300 Mg Tab","code_information":[{"code":"4078945","type":"CDM"},{"code":"250","type":"RC"},{"code":"61958070101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":140,"maximum":2801,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Drill Tip Wire 1.25mm","code_information":[{"code":"3700871","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700871","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":383,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"Phlebotomy; Therapeutic","code_information":[{"code":"4010223","type":"CDM"},{"code":"940","type":"RC"},{"code":"99195","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":383,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"Herpes Simplex Virus Pcr Uvmc","code_information":[{"code":"4017332","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":383,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":247},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":140},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Commercial","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":140},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":"Salmonella Culture Feces, Mayo","code_information":[{"code":"4017906","type":"CDM"},{"code":"300","type":"RC"},{"code":"87046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":381,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":139},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Commercial","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":139},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Retinol Binding Protein Mayo","code_information":[{"code":"4017015","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":381,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":139},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Commercial","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":139},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Yersinia Culture Stool Mayo","code_information":[{"code":"4017993","type":"CDM"},{"code":"300","type":"RC"},{"code":"87505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":381,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":139},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":257},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Commercial","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":139},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Exc B9 Lsn Trnk/arm/leg >4.0cm Mcr Tech","code_information":[{"code":"710233","type":"CDM"},{"code":"510","type":"RC"},{"code":"11406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":380,"gross_charge":365,"discounted_cash":274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":139},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Commercial","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":139},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Tenotomy Of Toe, Single Tendon Mcr Tech","code_information":[{"code":"710407","type":"CDM"},{"code":"510","type":"RC"},{"code":"28232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":380,"gross_charge":365,"discounted_cash":274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":139},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Commercial","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":139},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Pancreatic Elastase Mayo","code_information":[{"code":"4016319","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":380,"gross_charge":365,"discounted_cash":274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":245},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":139},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Commercial","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":139},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Niti G-wire Trocar .62 X 5.91","code_information":[{"code":"3700172","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":379,"gross_charge":364,"discounted_cash":273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":244},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Trocar Guide Wire .0145 Nitniol","code_information":[{"code":"3700169","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":379,"gross_charge":364,"discounted_cash":273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":244},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":".Interphase In Situ Hybridization","code_information":[{"code":"4016209","type":"CDM"},{"code":"310","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":379,"gross_charge":364,"discounted_cash":273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":244},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":256},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Enopath Blunt Tip Dissector","code_information":[{"code":"3256227","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Screw/cortical 2.4 #201.776","code_information":[{"code":"3259980","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Lapilock Olive Wire Non-threaded","code_information":[{"code":"3700528","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Lapilock Olive Wire Threaded","code_information":[{"code":"3700527","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"K-wire Blunt Trocar 0.9x150 Mm","code_information":[{"code":"3700265","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"K-wire Blunt Trocar 1.1x150 Mm","code_information":[{"code":"3700260","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"K-wire 1.4x150mm Blunt Trocar","code_information":[{"code":"3700195","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Lapilock Olive Wire","code_information":[{"code":"3700526","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Lapilock Olive Wire","code_information":[{"code":"3700619","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":378,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Endo Close #0570173022","code_information":[{"code":"3255803","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255803","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":376,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":254},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Arthrogram Shoulder","code_information":[{"code":"4040230-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73040","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":138,"maximum":376,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":243},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":138},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":254},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Commercial","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":138},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Drill Bit Ns 2.5x110mm Gold #310.25","code_information":[{"code":"3257622","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":375,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":242},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":137},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":253},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137}]}]},{"description":"Tray/umbilical Cath Neo-sert 160408","code_information":[{"code":"3258293","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258293","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":373,"gross_charge":359,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":241},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":136},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"United Healthcare","plan_name":"Commercial","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":136},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Tray/safety-t-centesis Cath Drainage","code_information":[{"code":"3250799","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250799","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":371,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":239},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":136},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":251},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"United Healthcare","plan_name":"Commercial","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":136},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":".Charge Dhmc Tissuelevel Ii","code_information":[{"code":"4011286-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88302","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":136,"maximum":371,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":239},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":136},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":251},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"United Healthcare","plan_name":"Commercial","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":136},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Punch/barron Non-vacuum 8.5","code_information":[{"code":"3259767","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259767","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":370,"gross_charge":356,"discounted_cash":267,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":239},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":250},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Group psychotherapy","code_information":[{"code":"4340007","type":"CDM"},{"code":"900","type":"RC"},{"code":"90853","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":369,"gross_charge":355,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":238},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Initial new patient preventative medicine evaluation (40-64 years)","code_information":[{"code":"730017","type":"CDM"},{"code":"521","type":"RC"},{"code":"99386","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":369,"gross_charge":355,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":238},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Marker/tissue Ultra Clip Dual #863017d","code_information":[{"code":"3250645","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4648","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":369,"gross_charge":355,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":238},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Micafungin Ivpb","code_information":[{"code":"4077887","type":"CDM"},{"code":"636","type":"RC"},{"code":"46932","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":369,"gross_charge":355,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":238},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fungitell Mayo","code_information":[{"code":"4016883","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":368,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Pack/custom Gyn Laparoscopy","code_information":[{"code":"3211505","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":368,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Vac Granufoam Silver Med #M8275096/5","code_information":[{"code":"3250914","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":368,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":135},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":249},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Commercial","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":135},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Fetal Contraction Stress W Fetal Monitor","code_information":[{"code":"4030108","type":"CDM"},{"code":"721","type":"RC"},{"code":"59020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":367,"gross_charge":353,"discounted_cash":265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":134},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Commercial","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":134},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Trocar Versa One 5mm","code_information":[{"code":"3700411","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":367,"gross_charge":353,"discounted_cash":265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":237},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":134},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Commercial","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":134},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Esmolol  Infusion (10 Mg / Ml)","code_information":[{"code":"4078952","type":"CDM"},{"code":"636","type":"RC"},{"code":"10019005561","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":134,"maximum":2801,"gross_charge":352,"discounted_cash":264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":236},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":134},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":247},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Cath/fogarty Arterial 7fr Cv1050","code_information":[{"code":"3253225","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":365,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Chest Abd Pedi Foreign Body","code_information":[{"code":"4040131-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76010","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":133,"maximum":365,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Fluoro Guide Cntrl Venous Access Device","code_information":[{"code":"4040319-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77001","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":133,"maximum":365,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"12mm Balloon Trocar (Blunt)  #C0r47","code_information":[{"code":"3259932","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":364,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Lens Aa4203tl","code_information":[{"code":"3258885","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2788","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":364,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Bordetella Pertussis Ab Igg Mayo","code_information":[{"code":"4017785","type":"CDM"},{"code":"300","type":"RC"},{"code":"86615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":364,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Heparin Pf4 Igg Ab    Mayo","code_information":[{"code":"4011737","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":364,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":235},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":246},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Inj Facet Jnt  W Imaging  Cerv Thora Fac","code_information":[{"code":"4080325","type":"CDM"},{"code":"370","type":"RC"},{"code":"64490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":363,"gross_charge":349,"discounted_cash":262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":234},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Pack/custom Eye #Cat1301sh","code_information":[{"code":"3258688","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258688","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":363,"gross_charge":349,"discounted_cash":262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":234},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Certadose Pals Syringe Holder Kit","code_information":[{"code":"4070276","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070276","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":363,"gross_charge":349,"discounted_cash":262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":234},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":133},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":245},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Commercial","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":133},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Blade Dermatone","code_information":[{"code":"3259702","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":362,"gross_charge":348,"discounted_cash":261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":233},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":132},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":244},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Commercial","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":132},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Change Of Bladder Tube Simple Mcr Tech","code_information":[{"code":"710168","type":"CDM"},{"code":"510","type":"RC"},{"code":"51705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":361,"gross_charge":347,"discounted_cash":260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":233},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":132},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Commercial","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":132},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Tube/non Fenestrated Lp Cuffed #6lpc","code_information":[{"code":"3251485","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251485","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":360,"gross_charge":346,"discounted_cash":260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":232},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":243},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":".Mycoplasma Pneumoniae Iga Mayo","code_information":[{"code":"4017143","type":"CDM"},{"code":"300","type":"RC"},{"code":"86738","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":360,"gross_charge":346,"discounted_cash":260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":232},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":243},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":".Zinc Rbc  Mayo","code_information":[{"code":"4011955","type":"CDM"},{"code":"300","type":"RC"},{"code":"84630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":360,"gross_charge":346,"discounted_cash":260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":232},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":243},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Needle/flexible Botox","code_information":[{"code":"3251412","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251412","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":359,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":242},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Kiwi Omnicup W/palm Pump #Vac6000m","code_information":[{"code":"3250331","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":359,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":242},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Selenium Serum Mayo","code_information":[{"code":"4011875","type":"CDM"},{"code":"300","type":"RC"},{"code":"84255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":359,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":242},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Swallowing/oral Funct Treatment Ii 30","code_information":[{"code":"4380041-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92526","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":131,"maximum":359,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":242},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Aphasia Assessment Per 60 Minutes","code_information":[{"code":"4380060-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"96105","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":131,"maximum":359,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":242},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Delivery Needle 10gax10cm","code_information":[{"code":"3700064","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":358,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":241},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Olanzapine (Zyprexa) Mayo","code_information":[{"code":"4017662","type":"CDM"},{"code":"300","type":"RC"},{"code":"80342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":358,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":241},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Gadolinium Serum  Mayo","code_information":[{"code":"4017660","type":"CDM"},{"code":"300","type":"RC"},{"code":"83018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":358,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":241},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Roth Maxi Polyp Net #00711058","code_information":[{"code":"3257442","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":358,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":231},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":131},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":241},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Commercial","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":131},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Hysteroscopy Surgical W Biopsy Mcr Tech","code_information":[{"code":"710363","type":"CDM"},{"code":"510","type":"RC"},{"code":"58558","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":356,"gross_charge":342,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":240},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Evaluation Moderate Complexity Ot","code_information":[{"code":"4390020-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97166","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":130,"maximum":356,"gross_charge":342,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":240},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Evaluation Moderate Complexity Mv","code_information":[{"code":"4090658-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97162","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":130,"maximum":356,"gross_charge":342,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":240},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Evaluation Moderate Complexity","code_information":[{"code":"4090259-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97162","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":130,"maximum":356,"gross_charge":342,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":240},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Evaluation Moderate Complexity Bf","code_information":[{"code":"4090219-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97162","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":130,"maximum":356,"gross_charge":342,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":240},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Grasper/laperscopic Tethered","code_information":[{"code":"3259638","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259638","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":355,"gross_charge":341,"discounted_cash":256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":239},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Bk Virus Dna Detect And Quant  Mayo","code_information":[{"code":"4016332","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":355,"gross_charge":341,"discounted_cash":256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":229},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":130},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":239},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Commercial","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":130},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Inj Intravenous Push New Drug Er","code_information":[{"code":"3230120","type":"CDM"},{"code":"450","type":"RC"},{"code":"96375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":129,"maximum":354,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":228},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":".Charge Gad65 Ab Assay","code_information":[{"code":"4017096","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":129,"maximum":354,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":228},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Inj Intravenous Push New Drug Er 59mod","code_information":[{"code":"3231345-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96375","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":129,"maximum":354,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":228},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Swallowing/oral Function Evaluation Ii","code_information":[{"code":"4380031-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92610","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":129,"maximum":354,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":228},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Removal Of Fb, Subq; Simple Mcr Tech","code_information":[{"code":"710020","type":"CDM"},{"code":"510","type":"RC"},{"code":"10120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":129,"maximum":353,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Armstrong Ear Tubes","code_information":[{"code":"3255902","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":129,"maximum":353,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Thrombin 5000u Topical","code_information":[{"code":"4072117","type":"CDM"},{"code":"250","type":"RC"},{"code":"60793021505","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":129,"maximum":2801,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":129},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Carnitine Serum  Mayo","code_information":[{"code":"4015526","type":"CDM"},{"code":"300","type":"RC"},{"code":"82379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":352,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":128},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":237},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Commercial","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":128},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Drug Test 1-7 Drug Classes","code_information":[{"code":"4012318","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0480","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":352,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":128},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":237},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Commercial","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":128},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Vasopressin 20 Units/ 100 Ml Ns [Premix]","code_information":[{"code":"4070261","type":"CDM"},{"code":"636","type":"RC"},{"code":"42023023710","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":128,"maximum":2801,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":227},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":128},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":237},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Cath/double Lumen #405-100","code_information":[{"code":"3256741","type":"CDM"},{"code":"270","type":"RC"},{"code":"C1758","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":350,"gross_charge":337,"discounted_cash":253,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":226},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":128},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":237},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Commercial","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":128},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Fluocinonide 0.05% Cream (30 Gm)","code_information":[{"code":"4072054","type":"CDM"},{"code":"250","type":"RC"},{"code":"69238153403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":128,"maximum":2801,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":128},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":236},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Drug Screen Chemistry Analizers","code_information":[{"code":"4012317","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Insrt Temp Bladder Cath Simple","code_information":[{"code":"3230437","type":"CDM"},{"code":"450","type":"RC"},{"code":"51702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Insert Temp Indwelling Catheter, Simple","code_information":[{"code":"4040160","type":"CDM"},{"code":"360","type":"RC"},{"code":"51702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Evaluation Low Complexity Ot","code_information":[{"code":"4390019-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97165","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Evaluation Low Complexity Mv","code_information":[{"code":"4090657-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97161","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Evaluation Low Complexity","code_information":[{"code":"4090258-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97161","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Evaluation Low Complexity Bf","code_information":[{"code":"4090218-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97161","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":127,"maximum":348,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":225},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":235},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Fetal Monitoring During Labor W/dr","code_information":[{"code":"4030105","type":"CDM"},{"code":"729","type":"RC"},{"code":"59050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":347,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":224},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Screw/metaphyseal 2.7 #02.118.526","code_information":[{"code":"3250983","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":347,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":224},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Cath/abd Sensor #Tdoc-7fs","code_information":[{"code":"3251435","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251435","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":347,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":224},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Suture/surgidac 0 (Es-9)","code_information":[{"code":"3700760","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700760","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":346,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Suture/endo-stitch Sofsilk","code_information":[{"code":"3701123","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":346,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Suture/surgidac 2-0, 48","code_information":[{"code":"3701124","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":346,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":".Von Will Factor Multimer","code_information":[{"code":"4011723","type":"CDM"},{"code":"300","type":"RC"},{"code":"85247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":346,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":127},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Commercial","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":127},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Emergency Room Procedureintermediate","code_information":[{"code":"3230494","type":"CDM"},{"code":"450","type":"RC"},{"code":"CP3230494","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":345,"gross_charge":332,"discounted_cash":249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":126},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":233},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Commercial","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":126},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Guide Wire .035 Stiff/straight #150nss35","code_information":[{"code":"3258994","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":345,"gross_charge":332,"discounted_cash":249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":126},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":233},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Commercial","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":126},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":".Charge Assay Of Apolipoprotein Mayo","code_information":[{"code":"4016980","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":345,"gross_charge":332,"discounted_cash":249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":223},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":126},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":233},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Commercial","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":126},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Us Lymph Node Biopsy","code_information":[{"code":"4181219-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"38505","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":126,"maximum":344,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":222},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":126},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":232},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Commercial","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":126},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Cast/long Leg-plastr","code_information":[{"code":"3250260","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":343,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":232},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":".Flow Cytometry Interp 2 To 8 Markers","code_information":[{"code":"4016397","type":"CDM"},{"code":"300","type":"RC"},{"code":"88187","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":343,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":232},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Developmental Testing Ii (Limited) 60 Mi","code_information":[{"code":"4380051-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"96110","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":125,"maximum":343,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":232},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Level I-brief","code_information":[{"code":"3230201","type":"CDM"},{"code":"450","type":"RC"},{"code":"99281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":342,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Carbohydrate Antigen 19-9   Mayo","code_information":[{"code":"4011796","type":"CDM"},{"code":"300","type":"RC"},{"code":"86301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":342,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Protein S Activity Mayo","code_information":[{"code":"4010579","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":342,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Clobazam    Mayo","code_information":[{"code":"4017214","type":"CDM"},{"code":"300","type":"RC"},{"code":"80339","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":342,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Level I-brief Mod 25","code_information":[{"code":"3230221-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99281","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":125,"maximum":342,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":221},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Screw/cortical 2.4 #201.766","code_information":[{"code":"3259979","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Screw/cortical 2.4x14mm #201.764","code_information":[{"code":"3259866","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Cannula W/obturator","code_information":[{"code":"3700851","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Hysteroscopy W/ Removal Fb Mcr Tech","code_information":[{"code":"710368","type":"CDM"},{"code":"510","type":"RC"},{"code":"58562","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Tube/fenestrated Lp Cuffed #4fen","code_information":[{"code":"3252272","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252272","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Doxycycline 100 Mg / Ns 250 Ml","code_information":[{"code":"4077530","type":"CDM"},{"code":"250","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Charge Islet Cell  Antibodies","code_information":[{"code":"4017858","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":341,"gross_charge":328,"discounted_cash":246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":220},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":125},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Commercial","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":125},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Injection Subcutan Or Intramusc Er","code_information":[{"code":"3230463","type":"CDM"},{"code":"450","type":"RC"},{"code":"96372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Injection Subcut Or Intramusc Clinic","code_information":[{"code":"3290105","type":"CDM"},{"code":"260","type":"RC"},{"code":"96372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Tissue Marker Coil, Implantable","code_information":[{"code":"3700466","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4648","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Tall M","code_information":[{"code":"3700317","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Ankle M","code_information":[{"code":"3700322","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Tall L","code_information":[{"code":"3700318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Tissue Marker Ribbon Implantable","code_information":[{"code":"3700465","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4648","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"65mm Nonrimmed Speed Pin 7401-3480","code_information":[{"code":"3700057","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Tissue Marker Heart Implantable","code_information":[{"code":"3700464","type":"CDM"},{"code":"278","type":"RC"},{"code":"A4648","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Ankle L","code_information":[{"code":"3700323","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Ankle Xl","code_information":[{"code":"3700324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Retractor/wound 5-9 Cm","code_information":[{"code":"3250811","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250811","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Tall S","code_information":[{"code":"3700316","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Tall Xl","code_information":[{"code":"3700319","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Marathon Air Walker Ankle S","code_information":[{"code":"3700321","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700321","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Work Hard/cond Initial 2 Hours","code_information":[{"code":"5010100","type":"CDM"},{"code":"430","type":"RC"},{"code":"97545","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Arthrogram Ankle","code_information":[{"code":"4040232","type":"CDM"},{"code":"320","type":"RC"},{"code":"73615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Blade Full Rad Powermini 2.0mm","code_information":[{"code":"3701152","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Blade Incisor Plus Powermini 2.9","code_information":[{"code":"3701153","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":".Abo-dhmc","code_information":[{"code":"4020146","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4017678","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"D Lactate Plasma Mayo","code_information":[{"code":"4016817","type":"CDM"},{"code":"300","type":"RC"},{"code":"83605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Thiotepa 15 Mg Inj","code_information":[{"code":"4076311","type":"CDM"},{"code":"636","type":"RC"},{"code":"14395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Injection Subcu Or Intramusc Er 59 Mod","code_information":[{"code":"3231343-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96372","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Injection Subcut Or Intramusc Clin 59mod","code_information":[{"code":"3290420-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96372","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":124,"maximum":340,"gross_charge":327,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":230},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Blade 3.5 Full Radius Elite","code_information":[{"code":"3251549","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251549","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":339,"gross_charge":326,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":229},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Blade Cutter Full Radius 3.5mm","code_information":[{"code":"3255064","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":339,"gross_charge":326,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":219},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":229},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Arthrogram Knee","code_information":[{"code":"4040191","type":"CDM"},{"code":"320","type":"RC"},{"code":"73580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":338,"gross_charge":325,"discounted_cash":244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":218},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":228},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Epoetin Alfa  Injection","code_information":[{"code":"4070306","type":"CDM"},{"code":"636","type":"RC"},{"code":"59676031001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":124,"maximum":2801,"gross_charge":325,"discounted_cash":244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":218},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":228},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vortran Respirtech Pro W/flex Hose #2131","code_information":[{"code":"3257438","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":338,"gross_charge":325,"discounted_cash":244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":218},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":124},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":228},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Commercial","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":124},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Galactose Alpha 1,3 Galactose Ige Mayo","code_information":[{"code":"4016672","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":337,"gross_charge":324,"discounted_cash":243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":227},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Commercial","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":123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123}]}]},{"description":".Varicella Zoster Uvmc","code_information":[{"code":"4017237","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":337,"gross_charge":324,"discounted_cash":243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":227},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Commercial","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":123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123}]}]},{"description":"Blade Full Radius 2.9mm","code_information":[{"code":"3256883","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":336,"gross_charge":323,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":227},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","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":123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123}]}]},{"description":"Pack/custom Hand Procedure","code_information":[{"code":"3211506","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":336,"gross_charge":323,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":227},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","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":123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123}]}]},{"description":"Isovue 300/500ml","code_information":[{"code":"3258662","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":336,"gross_charge":323,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":217},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":123},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":227},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","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":123},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Waste Bag Myosure Fluent 6 L","code_information":[{"code":"32510029","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":335,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":".Assay Nephelometry Not Spec Mayo","code_information":[{"code":"4011650","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":335,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Knees Ap Standing","code_information":[{"code":"4040156-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73565","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":122,"maximum":335,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Ankle Left 2 View","code_information":[{"code":"4040505-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":122,"maximum":335,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Ankle Right 2 View","code_information":[{"code":"4040506-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":122,"maximum":335,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Kii Sleeve Advanced Fixation 5x100 Cfs02","code_information":[{"code":"3250764","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":335,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":216},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Closesure Port Suture Passer","code_information":[{"code":"3700450","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700450","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":334,"gross_charge":321,"discounted_cash":241,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":215},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":".Hsv 1 And Hsv 2 Uvmc","code_information":[{"code":"4011797","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":334,"gross_charge":321,"discounted_cash":241,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":215},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Dbt Hospital Billing","code_information":[{"code":"4700024","type":"CDM"},{"code":"913","type":"RC"},{"code":"S9480","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":334,"gross_charge":321,"discounted_cash":241,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":215},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Iop Hospital Billing","code_information":[{"code":"4700023","type":"CDM"},{"code":"905","type":"RC"},{"code":"S9480","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":334,"gross_charge":321,"discounted_cash":241,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":215},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Pulmonary Strest Test (6-minute Walk)","code_information":[{"code":"4170304","type":"CDM"},{"code":"460","type":"RC"},{"code":"94618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":333,"gross_charge":320,"discounted_cash":240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":214},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Blade 5.5 Full Radius","code_information":[{"code":"3255283","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255283","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":333,"gross_charge":320,"discounted_cash":240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":214},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":".Dat Poly Dhmc","code_information":[{"code":"4010396-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":122,"maximum":333,"gross_charge":320,"discounted_cash":240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":214},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":122},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":225},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Commercial","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":122},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Aldosterone Urine   Mayo","code_information":[{"code":"4016563","type":"CDM"},{"code":"300","type":"RC"},{"code":"82088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":332,"gross_charge":319,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":214},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Exc B9 Lsn Trnk/arm/leg 3.1-4cm Mcr Tech","code_information":[{"code":"710232","type":"CDM"},{"code":"510","type":"RC"},{"code":"11404","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Delivery Needle 8gax10cm","code_information":[{"code":"3700206","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Gad 65 Antibody Mayo","code_information":[{"code":"4012267","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Pyridoxal 5 Phosphate  Mayo","code_information":[{"code":"4011010","type":"CDM"},{"code":"300","type":"RC"},{"code":"84207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Angiotensin Converting Enzyme Mayo","code_information":[{"code":"4011982","type":"CDM"},{"code":"300","type":"RC"},{"code":"82164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"..Vitamin B12 Binding Capacity Mayo","code_information":[{"code":"4016704","type":"CDM"},{"code":"300","type":"RC"},{"code":"82608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":".Ref Susceptibility  Mayo","code_information":[{"code":"4017213","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Methotrexate    Uvmc","code_information":[{"code":"4011227","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Loopogram","code_information":[{"code":"4040119-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74425","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Nephrostogram","code_information":[{"code":"4040458-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"74425","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":121,"maximum":331,"gross_charge":318,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":213},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":121},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":121},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Cath/percutaneous Suprapubic 14fr","code_information":[{"code":"3253837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":330,"gross_charge":317,"discounted_cash":238,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Immunization Administration One","code_information":[{"code":"3230461","type":"CDM"},{"code":"771","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":330,"gross_charge":317,"discounted_cash":238,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":".Charge Mayo Hex La","code_information":[{"code":"4016433-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"85598","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":120,"maximum":330,"gross_charge":317,"discounted_cash":238,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":223},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Neomycin/polymyxin/hydrocort Otic Susp","code_information":[{"code":"4074303","type":"CDM"},{"code":"250","type":"RC"},{"code":"24208063562","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":120,"maximum":2801,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":222},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cardiac Rehab With Ecg","code_information":[{"code":"4090467","type":"CDM"},{"code":"943","type":"RC"},{"code":"93798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":329,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":222},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Cardiac Rehab Without Ecg","code_information":[{"code":"4090468","type":"CDM"},{"code":"943","type":"RC"},{"code":"93797","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":329,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":222},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Protein C Activity Mayo","code_information":[{"code":"4010578","type":"CDM"},{"code":"300","type":"RC"},{"code":"85303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":329,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":222},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Pilocarpine 2% 15ml","code_information":[{"code":"4079060","type":"CDM"},{"code":"250","type":"RC"},{"code":"61314020415","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":120,"maximum":2801,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":212},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":222},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Frozen Plasma","code_information":[{"code":"4020113","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9017","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":328,"gross_charge":315,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":221},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Vitamin B3 Niacin Mayo","code_information":[{"code":"4016072","type":"CDM"},{"code":"300","type":"RC"},{"code":"84591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":328,"gross_charge":315,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":221},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":".Abo Compatiblity Dhmc","code_information":[{"code":"4016951","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":328,"gross_charge":315,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":221},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":".Charge Rrmc Bc Gn Verigene","code_information":[{"code":"4017330","type":"CDM"},{"code":"300","type":"RC"},{"code":"87149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":328,"gross_charge":315,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":211},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":120},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":221},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Commercial","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":120},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"External Cephalic Version","code_information":[{"code":"4030111","type":"CDM"},{"code":"721","type":"RC"},{"code":"59412","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":327,"gross_charge":314,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Commercial","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":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Beta 2 Transferrin Csf Fluids  Mayo","code_information":[{"code":"4015796","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":327,"gross_charge":314,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Commercial","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":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Vasoactive Intestinal Polypeptide Mayo","code_information":[{"code":"4015690","type":"CDM"},{"code":"300","type":"RC"},{"code":"84586","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":327,"gross_charge":314,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Commercial","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":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw/crtx Peri-loc 3.5mm T20 12mm S-t","code_information":[{"code":"3252052","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw/crtx Peri-loc 3.5mm T20 14mm S-t","code_information":[{"code":"3252053","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw/crtx Peri-loc 3.5mm T20 16mm S-t","code_information":[{"code":"3252054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw/crtx Peri-loc 3.5mm T20 22mm S-t","code_information":[{"code":"3252056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Wire/compression #03.211.425","code_information":[{"code":"3251261","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251261","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Cv Knees Bilat Standing (Mcr Tech)","code_information":[{"code":"1700159","type":"CDM"},{"code":"320","type":"RC"},{"code":"73565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Cv Ankle Right 2 Views (Mcr Tech)","code_information":[{"code":"1700201-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":119,"maximum":326,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":210},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":220},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Wire/glide Superstift Str Tip #630-225b","code_information":[{"code":"3256739","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256739","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":324,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":209},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Grasper Rat Tooth","code_information":[{"code":"3259639","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259639","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":324,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":209},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Metamycoplasma Hominis  Pcr  Mayo","code_information":[{"code":"4017829","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":324,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":209},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":".Flow Cytometry 9 To 15 Markers","code_information":[{"code":"4010239-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88188","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":119,"maximum":324,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":209},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":119},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":219},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Blade Abrader 4.0mm","code_information":[{"code":"3255044","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":323,"gross_charge":311,"discounted_cash":233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":208},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":118},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":218},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Commercial","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":118},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Von Willebrand Factor Activity  Uvmc","code_information":[{"code":"4011567","type":"CDM"},{"code":"300","type":"RC"},{"code":"85397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":323,"gross_charge":311,"discounted_cash":233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":208},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":118},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":218},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Commercial","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":118},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Fluoro Inj Si Joint Lt","code_information":[{"code":"4040449-LT","type":"CDM"},{"code":"761","type":"RC"},{"code":"27096","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":118,"maximum":323,"gross_charge":311,"discounted_cash":233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":208},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":118},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":218},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Commercial","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":118},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Fluoro Inj Si Joint Rt","code_information":[{"code":"4040415-RT","type":"CDM"},{"code":"761","type":"RC"},{"code":"27096","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":118,"maximum":323,"gross_charge":311,"discounted_cash":233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":208},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":118},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":218},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Commercial","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":118},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":".Charge Thyroglobulin Antibody","code_information":[{"code":"4017680","type":"CDM"},{"code":"300","type":"RC"},{"code":"87185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":322,"gross_charge":310,"discounted_cash":233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":208},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":118},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":218},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Commercial","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":118},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Norgestimate/ethinyl Estradiol Oral Tab","code_information":[{"code":"4077846","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180084073","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":117,"maximum":2801,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Adenovirus Stool And Fluids Pcr Mayo","code_information":[{"code":"4016926","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":321,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Commercial","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":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Ds Dna Ab Confirmation By Crithidia Mayo","code_information":[{"code":"4017957","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":321,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Commercial","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":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Visipaque 50ml #V550","code_information":[{"code":"3258361","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":321,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Commercial","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":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Work Hardening ( 2hrs)","code_information":[{"code":"4390315-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97545","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":117,"maximum":321,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":207},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":217},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Commercial","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":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Risperidone & 9-hydroxyrisperidone Mayo","code_information":[{"code":"4017732","type":"CDM"},{"code":"300","type":"RC"},{"code":"80342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":320,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":206},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":216},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Commercial","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":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":".Ach Receptor Binding Ab","code_information":[{"code":"4016526","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":320,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":206},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":216},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Commercial","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":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":".Ab Sensitivity Disk","code_information":[{"code":"4011210","type":"CDM"},{"code":"300","type":"RC"},{"code":"87184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":319,"gross_charge":307,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":206},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":216},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Needle/botox Rigid","code_information":[{"code":"3251411","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":319,"gross_charge":307,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":206},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":117},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":216},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":".Charge Mayo Vedolizumab Ab","code_information":[{"code":"4016223","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":318,"gross_charge":306,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":205},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":215},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Set/quick Pressure Monitoring #295-2","code_information":[{"code":"3251149","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":318,"gross_charge":306,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":205},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":215},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Tc-99m Dimercaptosuccinic Acid","code_information":[{"code":"4070123","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":318,"gross_charge":306,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":205},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":215},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Mesh/ultra 2 X12  #30712","code_information":[{"code":"3259228","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":317,"gross_charge":305,"discounted_cash":229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":204},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":214},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Phosphatidylethanol Mayo","code_information":[{"code":"4016956","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":317,"gross_charge":305,"discounted_cash":229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":204},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":214},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Vitamin B5 (Pantothenic Acid) Mayo","code_information":[{"code":"4017739","type":"CDM"},{"code":"300","type":"RC"},{"code":"84591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":317,"gross_charge":305,"discounted_cash":229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":204},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":214},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Initial new patient preventative medicine evaluation (18-39 years)","code_information":[{"code":"730022","type":"CDM"},{"code":"521","type":"RC"},{"code":"99385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":316,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":116},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Commercial","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":116},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Start Iv","code_information":[{"code":"4080244","type":"CDM"},{"code":"370","type":"RC"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Blade Sagittal System 6 (Hip)","code_information":[{"code":"3259474","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Dhea S   Uvmc","code_information":[{"code":"4010951","type":"CDM"},{"code":"300","type":"RC"},{"code":"82627","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Hemoglobin Thalassemia Eval Uvmc","code_information":[{"code":"4010920","type":"CDM"},{"code":"300","type":"RC"},{"code":"83020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Varicella Zoster Virus Pcr Mayo","code_information":[{"code":"4017126","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":".Lup Pt Mix 1:1","code_information":[{"code":"4016645","type":"CDM"},{"code":"300","type":"RC"},{"code":"85611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Collar/apen Vista","code_information":[{"code":"3251069","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Tubing/endo Scrub Ii","code_information":[{"code":"3258694","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":315,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":203},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":213},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"I&d Abscess, Complex/mutli Mcr Tech","code_information":[{"code":"710347","type":"CDM"},{"code":"510","type":"RC"},{"code":"10061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":314,"gross_charge":302,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":202},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":115},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":212},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Commercial","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":115},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Insrt Intrauterine Device (Iud) Mcr Tech","code_information":[{"code":"710268","type":"CDM"},{"code":"510","type":"RC"},{"code":"58300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":313,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":202},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Commercial","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":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Blade/saw Sagittal  #4118-127-100","code_information":[{"code":"3259623","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":313,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":202},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Commercial","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":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Recovery Room Charge 1-30","code_information":[{"code":"3220010","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP3220010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":312,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":201},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Commercial","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":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".Assay Of Haptoglobin Mayo","code_information":[{"code":"4016981","type":"CDM"},{"code":"300","type":"RC"},{"code":"83010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":312,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":201},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Commercial","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":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".Hgb Electro Mayo","code_information":[{"code":"4016495","type":"CDM"},{"code":"300","type":"RC"},{"code":"83020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":312,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":201},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":211},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Commercial","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":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Reload/white For Ets 45 #Tr45w","code_information":[{"code":"3259595","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259595","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":311,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":210},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Commercial","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":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Albumin Human 25% (12.5 G / 50 Ml)","code_information":[{"code":"4078537","type":"CDM"},{"code":"636","type":"RC"},{"code":"68982064301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":114,"maximum":2801,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":114},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":210},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114}]}],"drug_information":{"unit":125,"type":"GR"}},{"description":"Inj Facet Jnt  W Imaging  Lumb Sacra Fac","code_information":[{"code":"4080326","type":"CDM"},{"code":"370","type":"RC"},{"code":"64493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":310,"gross_charge":298,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":".2 Rbc Ag Neg Unitarc","code_information":[{"code":"4016939","type":"CDM"},{"code":"300","type":"RC"},{"code":"86902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":310,"gross_charge":298,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Protoporphyrins Rbc Fract Mayo","code_information":[{"code":"4011091","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":310,"gross_charge":298,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Arthrogram Elbow","code_information":[{"code":"4040201-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"73085","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":113,"maximum":310,"gross_charge":298,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":200},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":209},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Patient office consultation, 40 min","code_information":[{"code":"3290020","type":"CDM"},{"code":"521","type":"RC"},{"code":"99243","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":309,"gross_charge":297,"discounted_cash":223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":199},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Tip Balloon #Umb678","code_information":[{"code":"3259539","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259539","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":309,"gross_charge":297,"discounted_cash":223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":199},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Ceruloplasmin Mayo","code_information":[{"code":"4011305","type":"CDM"},{"code":"300","type":"RC"},{"code":"82390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":309,"gross_charge":297,"discounted_cash":223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":199},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":113},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Commercial","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":113},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Forceps Alligator Grasper 5fr 460mm","code_information":[{"code":"3700416","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700416","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":308,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Pin Guide 2mm","code_information":[{"code":"3700838","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":308,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Cmv Igm Titer Mayo","code_information":[{"code":"4010653","type":"CDM"},{"code":"300","type":"RC"},{"code":"86645","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":308,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Ciprofloxacin / Dexamethasone Otic","code_information":[{"code":"4070064","type":"CDM"},{"code":"637","type":"RC"},{"code":"62756042790","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":112,"maximum":2801,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":208},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cystoscopy Chemodenervation Mcr Tech","code_information":[{"code":"710289","type":"CDM"},{"code":"510","type":"RC"},{"code":"52287","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Blade Saw Genesis Amsco Hall","code_information":[{"code":"3256811","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256811","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Quick-core Biopsy Needle Set 18x9x10t","code_information":[{"code":"3250375","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Quick-core Biopsy Needle Set 20x9x10t","code_information":[{"code":"3250377","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Quick-core Biopsy Needle Set 20x9x20t","code_information":[{"code":"3250979","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Work Hardening (2hrs) Bf","code_information":[{"code":"4090240-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97545","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Us Ob Transvaginal  Real Time","code_information":[{"code":"4060051-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76817","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Us Ob Follow Up","code_information":[{"code":"4060087-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76816","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Ultrasound Preg Real-time Transvaginal","code_information":[{"code":"4090300-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76817","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Ultrasound Pregnant Re-eval","code_information":[{"code":"4090299-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76816","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":112,"maximum":307,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":198},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":207},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Screw/cortical 2.4 #201.762","code_information":[{"code":"3259978","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":306,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":197},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":206},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Erythropoietin Serum Mayo","code_information":[{"code":"4015966","type":"CDM"},{"code":"300","type":"RC"},{"code":"82668","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":306,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":197},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":206},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Androstenedione Mayo","code_information":[{"code":"4010245","type":"CDM"},{"code":"300","type":"RC"},{"code":"82157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":306,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":197},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":206},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Commercial","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":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Influenza Vaccine 0.5 Ml Syr 65+","code_information":[{"code":"4078975","type":"CDM"},{"code":"636","type":"RC"},{"code":"70461002403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":112,"maximum":2801,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":197},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":112},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":206},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Fluocinonide 0.05% Gel (60 Gm)","code_information":[{"code":"4073621","type":"CDM"},{"code":"259","type":"RC"},{"code":"51672127903","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":111,"maximum":2801,"gross_charge":293,"discounted_cash":220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":196},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":206},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Calcitonin-salmon Nasal Spray (3.7 Ml)","code_information":[{"code":"4076300","type":"CDM"},{"code":"250","type":"RC"},{"code":"78031","type":"CPT","modifier":"154"}],"standard_charges":[{"setting":"outpatient","modifier_code":["154"],"minimum":111,"maximum":304,"gross_charge":292,"discounted_cash":219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":196},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":205},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}],"drug_information":{"unit":37,"type":"ML"}},{"description":"Inj Intravenous Push Sequential Same Er","code_information":[{"code":"3230125","type":"CDM"},{"code":"450","type":"RC"},{"code":"96376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Inj Intravenous Push Sequential Clinic","code_information":[{"code":"3290125","type":"CDM"},{"code":"260","type":"RC"},{"code":"96376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Inj Intravenous Push New Drug Clinic","code_information":[{"code":"3290120","type":"CDM"},{"code":"260","type":"RC"},{"code":"96375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Supplies/tattoo","code_information":[{"code":"3259606","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259606","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Metronidazole Vaginal 0.75% Gel 70 Gm","code_information":[{"code":"4076022","type":"CDM"},{"code":"259","type":"RC"},{"code":"78170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Inj Intrav Push Sequential Same Er 59mod","code_information":[{"code":"3231347-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96376","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Inj Intravenous Push New Drug Clin 59mod","code_information":[{"code":"3290422-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96375","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Inj Intraven Push Sequential Clin 59mod","code_information":[{"code":"3290424-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96376","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":111,"maximum":303,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":195},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":111},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Commercial","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":111},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Tube/vent Tytan Pedi #1056101","code_information":[{"code":"3259747","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":302,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":194},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":110},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Commercial","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":110},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Elbow Left 1 View","code_information":[{"code":"4040509-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":110,"maximum":302,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":194},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":110},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Commercial","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":110},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Elbow Right 1 View","code_information":[{"code":"4040510-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":110,"maximum":302,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":194},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":110},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":204},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Commercial","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":110},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Blade Dyonics Power Min 2.0mm Full Radiu","code_information":[{"code":"3700251","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700251","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":301,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":194},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":110},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":203},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Commercial","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":110},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Procainamide 100 Mg / Ml Vial","code_information":[{"code":"4073174","type":"CDM"},{"code":"636","type":"RC"},{"code":"40919","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":301,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":194},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":110},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":203},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Commercial","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":110},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":".Tyrosine","code_information":[{"code":"4011024","type":"CDM"},{"code":"300","type":"RC"},{"code":"84510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":300,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Insulin Antibodies Mayo","code_information":[{"code":"4011207","type":"CDM"},{"code":"300","type":"RC"},{"code":"86337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":300,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Von Willebrand Factor Antigen Uvmc","code_information":[{"code":"4017725","type":"CDM"},{"code":"300","type":"RC"},{"code":"85246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":300,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Factor Viii Activity Assay  Mayo","code_information":[{"code":"4011568","type":"CDM"},{"code":"300","type":"RC"},{"code":"85240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":300,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Tc-99m Methylene Diphosphonate","code_information":[{"code":"4070120","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":300,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Cytologysaccomanno","code_information":[{"code":"4010359-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88108","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":109,"maximum":300,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":193},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Cast/low Leg Fiberglas","code_information":[{"code":"3250328","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":298,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":201},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Suture/capio Monodek","code_information":[{"code":"3700643","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":298,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":201},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Rem Intrauterine Device (Iud) Mcr Tech","code_information":[{"code":"711045","type":"CDM"},{"code":"510","type":"RC"},{"code":"58301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":297,"gross_charge":286,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":201},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Porphyrins Total Plasma   Mayo","code_information":[{"code":"4015950","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":297,"gross_charge":286,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":201},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Morphine 30 Mg / 30 Ml (1 Mg/ml) Pca","code_information":[{"code":"4071796","type":"CDM"},{"code":"636","type":"RC"},{"code":"40920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":297,"gross_charge":286,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":192},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":109},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":201},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Commercial","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":109},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Midazolam Syrup (118 Ml)","code_information":[{"code":"4077826","type":"CDM"},{"code":"250","type":"RC"},{"code":"54356","type":"CPT","modifier":"699"}],"standard_charges":[{"setting":"outpatient","modifier_code":["699"],"minimum":108,"maximum":296,"gross_charge":285,"discounted_cash":214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":191},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}],"drug_information":{"unit":118,"type":"ML"}},{"description":"Ehrlichia Chaffeensis Ab Igg   Mayo","code_information":[{"code":"4016385","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":296,"gross_charge":285,"discounted_cash":214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":191},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Aspergillus Galactom Ag Mayo","code_information":[{"code":"4016127","type":"CDM"},{"code":"300","type":"RC"},{"code":"87305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":296,"gross_charge":285,"discounted_cash":214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":191},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Vre Pcr Mayo","code_information":[{"code":"4017895","type":"CDM"},{"code":"300","type":"RC"},{"code":"87500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":296,"gross_charge":285,"discounted_cash":214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":191},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Cath/abd Sensor #Tdoc-7fa","code_information":[{"code":"3251434","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251434","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":296,"gross_charge":285,"discounted_cash":214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":191},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":200},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Nm Tc99m Sestamibi","code_information":[{"code":"4060327","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9500","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":295,"gross_charge":284,"discounted_cash":213,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Rep Intm Trnk/ext/sclp 2.6-7.5cm Mcr Tch","code_information":[{"code":"710381","type":"CDM"},{"code":"510","type":"RC"},{"code":"12032","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":295,"gross_charge":284,"discounted_cash":213,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Pessary Ring W/ Support Sz 7","code_information":[{"code":"3700623","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":295,"gross_charge":284,"discounted_cash":213,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Balloon Tip","code_information":[{"code":"3259594","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259594","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":294,"gross_charge":283,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Arthogram Hip","code_information":[{"code":"4040208","type":"CDM"},{"code":"320","type":"RC"},{"code":"73525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":294,"gross_charge":283,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":".Charge Microsomal Antibody","code_information":[{"code":"4017679","type":"CDM"},{"code":"300","type":"RC"},{"code":"87185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":294,"gross_charge":283,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":".Antibody Idrrmc*","code_information":[{"code":"4016582","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":294,"gross_charge":283,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Bandito Endoscopic Ligator","code_information":[{"code":"3258384","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":294,"gross_charge":283,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":190},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":108},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":199},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Commercial","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":108},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ca 15 3 Mayo","code_information":[{"code":"4010126","type":"CDM"},{"code":"300","type":"RC"},{"code":"86300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":292,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Factor V Leiden R506q Mutation  Mayo","code_information":[{"code":"4011574","type":"CDM"},{"code":"300","type":"RC"},{"code":"81241","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":292,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Hep D Antibody Serum   Mayo","code_information":[{"code":"4011944","type":"CDM"},{"code":"300","type":"RC"},{"code":"86692","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":292,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"..Streptozyme Screen W/reflex Titer","code_information":[{"code":"4011550","type":"CDM"},{"code":"300","type":"RC"},{"code":"86403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":292,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Quad Marker Screen Afp Maternal Mayo","code_information":[{"code":"4016858","type":"CDM"},{"code":"300","type":"RC"},{"code":"81511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":292,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Tray/bone Marrow Biopsy Bmt-1104","code_information":[{"code":"3255015","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":292,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":107},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Commercial","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":107},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Budesonide / Formoterol 80 / 4.5 Mcg","code_information":[{"code":"4079172","type":"CDM"},{"code":"250","type":"RC"},{"code":"18603","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":291,"gross_charge":280,"discounted_cash":210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":106},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Commercial","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":106},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106}]}],"drug_information":{"unit":45,"type":"ME"}},{"description":"Supplies/egd","code_information":[{"code":"3259447","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259447","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":291,"gross_charge":280,"discounted_cash":210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":106},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Commercial","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":106},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Rabies Rffit Endpoint  Mayo","code_information":[{"code":"4010281","type":"CDM"},{"code":"300","type":"RC"},{"code":"86382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":291,"gross_charge":280,"discounted_cash":210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":188},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":106},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":197},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Commercial","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":106},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Supplies/colonoscopy","code_information":[{"code":"3259446","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259446","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":290,"gross_charge":279,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":187},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":106},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":196},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"Commercial","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":106},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Mini C-arm (Stress)","code_information":[{"code":"4040214-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"77071","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":106,"maximum":289,"gross_charge":278,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":106},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":195},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"Commercial","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":106},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"New patient office or other outpatient visit, 60 min","code_information":[{"code":"710004","type":"CDM"},{"code":"521","type":"RC"},{"code":"99205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":288,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Acetaminophen (Tylenol)","code_information":[{"code":"4010524","type":"CDM"},{"code":"300","type":"RC"},{"code":"80329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":288,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Strep Pneumo Igg Ab 23 Serotypes Mayo","code_information":[{"code":"4011821","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":288,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":186},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Trocar/endopath Bladeless 5mm #B5lt","code_information":[{"code":"3258402","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258402","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":287,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":185},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Dx Laryngoscopy W/scope Mcr Tech","code_information":[{"code":"710367","type":"CDM"},{"code":"510","type":"RC"},{"code":"31575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":287,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":185},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Splint/modular Night Jr Rt #6772","code_information":[{"code":"3275215","type":"CDM"},{"code":"623","type":"RC"},{"code":"CP3275215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":287,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":185},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":194},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Drug Screen Otc And Prescrip Serum Mayo","code_information":[{"code":"4011442","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":286,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":193},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Us 3d Rendering No Independ Workstation","code_information":[{"code":"4060068-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76376","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":105,"maximum":286,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":105},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":193},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Commercial","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":105},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":".Culture Anaerobe Ident Ea Uvmc","code_information":[{"code":"4010218","type":"CDM"},{"code":"300","type":"RC"},{"code":"87076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":285,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Tacrolimus Uvmc","code_information":[{"code":"4015333","type":"CDM"},{"code":"300","type":"RC"},{"code":"80197","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":285,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":".Tacrolimus Mayo","code_information":[{"code":"4017762","type":"CDM"},{"code":"300","type":"RC"},{"code":"80197","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":285,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Ca 27 29   Uvmc","code_information":[{"code":"4011573","type":"CDM"},{"code":"300","type":"RC"},{"code":"86300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":285,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Thyroxine T4 Free By Dialysis Mayo","code_information":[{"code":"4016384","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":285,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":184},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Wire/k 1.6 #02.113.001","code_information":[{"code":"3251201","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":284,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":".Charge Mayo Skeletal Muscle Relax","code_information":[{"code":"4016451","type":"CDM"},{"code":"300","type":"RC"},{"code":"80369","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":284,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":".Ach Receptor Modulating Ab","code_information":[{"code":"4016527","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":284,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Factor Ix Assay  Mayo","code_information":[{"code":"4017808","type":"CDM"},{"code":"300","type":"RC"},{"code":"85250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":284,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":".Caspr2 Igg Cba S Mayo","code_information":[{"code":"4017191","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":284,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":".Lgi1 Igg Cba S Mayo","code_information":[{"code":"4017192","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":284,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":183},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":104},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":192},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Commercial","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":104},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Immunization Administration Each Add","code_information":[{"code":"3230462","type":"CDM"},{"code":"771","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":283,"gross_charge":272,"discounted_cash":204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Immunization Administration One","code_information":[{"code":"3290461","type":"CDM"},{"code":"771","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":283,"gross_charge":272,"discounted_cash":204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Immunization Administration Each Add","code_information":[{"code":"3290462","type":"CDM"},{"code":"771","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":283,"gross_charge":272,"discounted_cash":204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":191},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Screw/canc Peri-loc 4.0 X 60mm","code_information":[{"code":"3252066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Optiflow Jr 2 Ped Nasal Cann Airvomed","code_information":[{"code":"3700045","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Optiflow Jr 2 Ped Nasal Cann Airvoxl","code_information":[{"code":"3700047","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Screw Peri-loc 4.0mm T20 Canc 40mm","code_information":[{"code":"3700401","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Screw Peri-loc 4.0mm T20 Canc 45mm","code_information":[{"code":"3700403","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Screw Peri-loc 4.0mm T20 Canc 55mm","code_information":[{"code":"3700614","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Colposcopy Of Cervix Uppr Adj Vagina Mcr","code_information":[{"code":"710136","type":"CDM"},{"code":"510","type":"RC"},{"code":"57452","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Optiflow Jr 2 Ped Nasal Cann Airvolg","code_information":[{"code":"3700046","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Optiflow Jr 2 Ped Nasal Cann Airvosm","code_information":[{"code":"3700044","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Homocysteine Plasma Mayo","code_information":[{"code":"4011279","type":"CDM"},{"code":"300","type":"RC"},{"code":"83090","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Proinsulin Mayo","code_information":[{"code":"4016160","type":"CDM"},{"code":"300","type":"RC"},{"code":"84206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Speech/language Treatment Ii Per 30 Min","code_information":[{"code":"4380021-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92507","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":103,"maximum":282,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":182},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Balloon Tip","code_information":[{"code":"3259645","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":281,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":181},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Nasal Endoscopy Dx W/scope Mcr Tech","code_information":[{"code":"710366","type":"CDM"},{"code":"510","type":"RC"},{"code":"31231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":281,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":181},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Levetiracetam Serum Mayo","code_information":[{"code":"4010276","type":"CDM"},{"code":"300","type":"RC"},{"code":"80177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":281,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":181},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Topiramate Mayo","code_information":[{"code":"4011691","type":"CDM"},{"code":"300","type":"RC"},{"code":"80201","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":281,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":181},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"T Vaginalis Misc Site Amp Rna Mayo","code_information":[{"code":"4017637","type":"CDM"},{"code":"300","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":281,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":181},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":103},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":190},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Commercial","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":103},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Iv Infusion Concurrent Er","code_information":[{"code":"3230219","type":"CDM"},{"code":"450","type":"RC"},{"code":"96368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Knee Orthosis, Custom, Adj Joints/positi","code_information":[{"code":"70160","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1833","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Iv Infusion Concurrent Clinic","code_information":[{"code":"3290204","type":"CDM"},{"code":"260","type":"RC"},{"code":"96368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Patient office consultation, 60 min","code_information":[{"code":"710013","type":"CDM"},{"code":"521","type":"RC"},{"code":"99244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Exc Malig Lsn Trnk/ext 1.1-2cm Mcr Tech","code_information":[{"code":"710080","type":"CDM"},{"code":"510","type":"RC"},{"code":"11602","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Iv Infusion Concurrent Er 59 Mod","code_information":[{"code":"3231341-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96368","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Iv Infusion Concurrent Clinic 59mod","code_information":[{"code":"3290418-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96368","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":102,"maximum":280,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":189},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"New patient office or other outpatient visit, 30 min","code_information":[{"code":"730003","type":"CDM"},{"code":"521","type":"RC"},{"code":"99203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Inj Contrast Dacryocystography","code_information":[{"code":"4040461","type":"CDM"},{"code":"761","type":"RC"},{"code":"68850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Oligoclonal Bands Csf And Serum Mayo","code_information":[{"code":"4010258","type":"CDM"},{"code":"300","type":"RC"},{"code":"83916","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Iodosorb Gel","code_information":[{"code":"3258709","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258709","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Motion Fluoro Eval Of Swallow Func","code_information":[{"code":"4380009-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92611","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Re Evaluation  Mv","code_information":[{"code":"4090660-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97164","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Re Evaluation Bf","code_information":[{"code":"4090221-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97164","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Re Evaluation","code_information":[{"code":"4090261-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97164","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":102,"maximum":279,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":180},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":102},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":188},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Commercial","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":102},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Loc Needle Chg","code_information":[{"code":"4040241","type":"CDM"},{"code":"621","type":"RC"},{"code":"CP4040241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":278,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":179},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":".Surg Tissue Level V Uvmc Chg","code_information":[{"code":"4017923","type":"CDM"},{"code":"310","type":"RC"},{"code":"88307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Needle/delievery #Dls-7126-01s","code_information":[{"code":"3259904","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259904","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Ige  Uvmc","code_information":[{"code":"4010510","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":".Islet Cell Ab","code_information":[{"code":"4011638","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":".Sacc Cer Ab Iga Charge","code_information":[{"code":"4017632","type":"CDM"},{"code":"300","type":"RC"},{"code":"86671","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":".Sacc Cer Ab Igg Charge","code_information":[{"code":"4017633","type":"CDM"},{"code":"300","type":"RC"},{"code":"86671","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Eval Speech Fluency","code_information":[{"code":"4380014-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92521","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":101,"maximum":277,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Rifaximin 550 Mg Tablet","code_information":[{"code":"4078405","type":"CDM"},{"code":"637","type":"RC"},{"code":"65649030303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":101,"maximum":2801,"gross_charge":266,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":187},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}],"drug_information":{"unit":550,"type":"ME"}},{"description":"Wire/nicore Guide Shft .038 #150nss38","code_information":[{"code":"3250692","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250692","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":276,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":186},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Cobalt Serum  Mayo","code_information":[{"code":"4016514","type":"CDM"},{"code":"300","type":"RC"},{"code":"83018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":276,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":186},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Aminolevulinic Acid Urine   Mayo","code_information":[{"code":"4017646","type":"CDM"},{"code":"300","type":"RC"},{"code":"82135","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":276,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":178},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":101},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":186},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Commercial","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":101},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"K-wire .062 In X 5 In","code_information":[{"code":"3252102","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3252102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Screw/cortex 2.7 #202.888","code_information":[{"code":"3250557","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Needle/sidekick 14.6  X 21ga  #890-304","code_information":[{"code":"3250569","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Tip/phaco  30* #100-1000-301","code_information":[{"code":"3259393","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":".Detect Agent Nos Dna Mayo","code_information":[{"code":"4017170","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":".Inter In Situ Hy 100-300 Mayo","code_information":[{"code":"4016575","type":"CDM"},{"code":"300","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Mucopolysaccharides Quant Ua Mayo","code_information":[{"code":"4016145","type":"CDM"},{"code":"300","type":"RC"},{"code":"83864","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Igd Mayo","code_information":[{"code":"4016213","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Needle/sclero 25g","code_information":[{"code":"3257457","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257457","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":275,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":177},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"I&d Vulva/perineal Abscess Mcr Tech","code_information":[{"code":"710271","type":"CDM"},{"code":"510","type":"RC"},{"code":"56405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":274,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Screw Evos 2.7mmx20mm T8","code_information":[{"code":"3700478","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":274,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Screw Evos 2.7mmx30mm","code_information":[{"code":"3700489","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":274,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Screw Evos 2.7mmx32mm","code_information":[{"code":"3700490","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":274,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Neurontin Mayo","code_information":[{"code":"4010935","type":"CDM"},{"code":"300","type":"RC"},{"code":"80171","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":274,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Lsd Trace Analysis Urine May","code_information":[{"code":"4012272","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":274,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Carboplatin 600 Mg Vial (Mdv)","code_information":[{"code":"4078298","type":"CDM"},{"code":"636","type":"RC"},{"code":"61703033956","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":100,"maximum":2801,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":185},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Biopsy Of Mouth Lesion Mcr Tech","code_information":[{"code":"710355","type":"CDM"},{"code":"510","type":"RC"},{"code":"40808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":272,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":176},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":100},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":184},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"Commercial","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":100},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Hood/peel Away #416-801-100","code_information":[{"code":"3251349","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251349","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Lens/rayner 970c","code_information":[{"code":"3251784","type":"CDM"},{"code":"276","type":"RC"},{"code":"CP3251784","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"System/single Action Pumping #720-100","code_information":[{"code":"3255063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Er Ekgprocedure Only","code_information":[{"code":"4030127","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Ekgproc  Onlycall Rcp At 7233","code_information":[{"code":"4030128","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Ekgstat  Proc Onlycall Rcp At 7233","code_information":[{"code":"4030345","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Clinic Ekg- Procedure Only","code_information":[{"code":"4030344","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Pop Ekgprocedure Only","code_information":[{"code":"4030136","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Wc Ekg Procedure Only","code_information":[{"code":"4030343","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Suture/capio 0 Tc-43 Blue","code_information":[{"code":"3700644","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700644","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Immunization Admin 18 And Younger","code_information":[{"code":"3239871","type":"CDM"},{"code":"771","type":"RC"},{"code":"90460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Zonegran Mayo","code_information":[{"code":"4011891","type":"CDM"},{"code":"300","type":"RC"},{"code":"80203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Herpes Simplex Virus Csf Pcr     Mayo","code_information":[{"code":"4017083","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Herpes Simplex Virus 1/2 Qual Pcr Mayo","code_information":[{"code":"4016983","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Neutrophil Sp Abs Charge","code_information":[{"code":"4017634","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Analysis Voice Resonance","code_information":[{"code":"4380017-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92524","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":99,"maximum":271,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":175},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Tube/shiley Trach Cuffless #6cfs","code_information":[{"code":"3251484","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":270,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Ultrabraid #2 #7210915","code_information":[{"code":"3259096","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":270,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"East Equine Enceph Ab Igg Igm Csf Mayo","code_information":[{"code":"4016662","type":"CDM"},{"code":"300","type":"RC"},{"code":"86652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":270,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Varicella Zoster Pcr","code_information":[{"code":"4017127","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":270,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Hydromorphone High Dose Pca 5mg/ml","code_information":[{"code":"4078444","type":"CDM"},{"code":"636","type":"RC"},{"code":"70301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":270,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Kit/sheath Introducer #Ak-09801","code_information":[{"code":"3252442","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":270,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Commercial","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":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Phenol Liquified 100 Ml","code_information":[{"code":"4078483","type":"CDM"},{"code":"250","type":"RC"},{"code":"51552011804","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":99,"maximum":2801,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":99},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":183},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Guidewire Trocar Double End 0.86mm","code_information":[{"code":"3700841","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":269,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":182},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Allergen Seafood Panel Mayo","code_information":[{"code":"4016454","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":269,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":182},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Human Tcell Lympho Virus 1&2   Mayo","code_information":[{"code":"4011559","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":269,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":182},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Pack/shoulder Non-arthroscopic","code_information":[{"code":"3215001","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3215001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":269,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":174},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":182},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Blade Saw Sagittal (Extra-wide)","code_information":[{"code":"3251975","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":268,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Holter Monitor Setupsp 93225","code_information":[{"code":"4030112","type":"CDM"},{"code":"731","type":"RC"},{"code":"CP4030112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":268,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Zinc Mayo","code_information":[{"code":"4010743","type":"CDM"},{"code":"300","type":"RC"},{"code":"84630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":268,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Arsenic Blood   Mayo","code_information":[{"code":"4011313","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":268,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"5'nucleotidase Mayo","code_information":[{"code":"4017048","type":"CDM"},{"code":"300","type":"RC"},{"code":"83915","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":268,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Aztreonam 2 Gm Vial","code_information":[{"code":"4077906","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323040220","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":98,"maximum":2801,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":173},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":181},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Balloon Tip","code_information":[{"code":"3259646","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259646","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":267,"gross_charge":257,"discounted_cash":193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Pac/nasal 5.5cm #Rr551","code_information":[{"code":"3250074","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":267,"gross_charge":257,"discounted_cash":193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":98},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Commercial","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":98},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Protective Cap 4.0mm Fixation Pins","code_information":[{"code":"3700053","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":266,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Cuff/cryo  Shoulder Only  #12-a01","code_information":[{"code":"3255883","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":266,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":".Dna/ma Direct Probe Uvmc","code_information":[{"code":"4016291-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"87149","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":97,"maximum":266,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":172},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":180},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Brace/shoulder Sling Sz L","code_information":[{"code":"3700674","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700674","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":265,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":171},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw Peri-lock 4.0mm T20 Canc 30mmp-t","code_information":[{"code":"3700221","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":265,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":171},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Brace/shoulder Sling Sz M","code_information":[{"code":"3700672","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700672","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":265,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":171},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Brace/shoulder Sling Sz S","code_information":[{"code":"3700673","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700673","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":265,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":171},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Brace/shoulder Sling Sz Xl","code_information":[{"code":"3700678","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":265,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":171},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Morphine 5 Mg / 10 Ml (0.5 Mg/ml) Pf Amp","code_information":[{"code":"4078371","type":"CDM"},{"code":"636","type":"RC"},{"code":"40938","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":265,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":171},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":179},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Commercial","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":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Screw/canc 4.0 X 50mm","code_information":[{"code":"3252062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw/canc 4.0 X 55mm","code_information":[{"code":"3252063","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw/canc Peri-loc 4.0 X 55mm","code_information":[{"code":"3252065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw/canc Peri-loc 4.0mm T20 40mm P-t","code_information":[{"code":"3252014","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw/canc Peri-loc 4.0mm T20 45mm P-t","code_information":[{"code":"3252018","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw/peri-loc 2.7mmx30mm T15 S-t","code_information":[{"code":"3252077","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Lens/pharmacia Iol #Za9003","code_information":[{"code":"3259085","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2788","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Lens/technis Iol Zcb00","code_information":[{"code":"3250047","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2632","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Cartridge/grasper 32mm #C4119","code_information":[{"code":"3250116","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":".Interphases 100-300 Mayo","code_information":[{"code":"4017162","type":"CDM"},{"code":"300","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":264,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Hydromorphone Pca 0.2 Mg/ml [*No Cpoe*]","code_information":[{"code":"4078040","type":"CDM"},{"code":"636","type":"RC"},{"code":"40780400000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":97,"maximum":2801,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":97},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Medroxyprogesterone-depo 150 Mg/ml","code_information":[{"code":"4077280","type":"CDM"},{"code":"636","type":"RC"},{"code":"97376","type":"CPT","modifier":"11"}],"standard_charges":[{"setting":"outpatient","modifier_code":["11"],"minimum":96,"maximum":263,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Dermabond Topical Skin Adhesive","code_information":[{"code":"3700776","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700776","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":263,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Lopro S4 Blade","code_information":[{"code":"3700037","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":263,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":". Prot Electrophoresis Urine Uvm","code_information":[{"code":"4015941","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":263,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":170},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":178},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Blade/saw Sagittal (Knee-wide)","code_information":[{"code":"3251011","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":262,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":169},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":177},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Drugs Of Abuse (10) & Alcohol Serum Mayo","code_information":[{"code":"4011017","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":262,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":169},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":177},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Clonazepam Mayo","code_information":[{"code":"4015049","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":262,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":169},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":177},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Commercial","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":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Typhoid Vi Polysaccharide Vaccine","code_information":[{"code":"4077909","type":"CDM"},{"code":"250","type":"RC"},{"code":"49281079051","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":96,"maximum":2801,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":169},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":96},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":177},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Platelet Antibody Screen    Mayo","code_information":[{"code":"4011102","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":261,"gross_charge":251,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Guidewire/sensor Dualflex Ptfe #670-312","code_information":[{"code":"3258063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":260,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Injection Intra-arterial Clinic","code_information":[{"code":"3290464","type":"CDM"},{"code":"260","type":"RC"},{"code":"96373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":260,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Pth-related Peptide Mayo","code_information":[{"code":"4011865","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":260,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Cortisol Saliva  Mayo","code_information":[{"code":"4016499","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":260,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Beclomethasone Aqueous Nasal Spray","code_information":[{"code":"4074184","type":"CDM"},{"code":"259","type":"RC"},{"code":"58016609201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":95,"maximum":2801,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Injection Intra-arterial Clinic 59 Mod","code_information":[{"code":"3290419-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96373","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":95,"maximum":260,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":168},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Wire/compression #03.211.415","code_information":[{"code":"3250413","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250413","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":259,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":167},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":175},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Wire/compression 15mm #03.211.420","code_information":[{"code":"3250440","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250440","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":259,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":167},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":175},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Babesia Species  Pcr Mayo","code_information":[{"code":"4016508","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":259,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":167},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":175},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Factor X Assay  Uvmc","code_information":[{"code":"4016046","type":"CDM"},{"code":"300","type":"RC"},{"code":"85260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":259,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":167},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":95},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":175},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Commercial","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":95},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Hyaluronidase Subcutaneous","code_information":[{"code":"4079061","type":"CDM"},{"code":"636","type":"RC"},{"code":"18657011701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":94,"maximum":2801,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fiberwire 2-0","code_information":[{"code":"3700762","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700762","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":258,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Vac Granufoam Med #M8275052/5","code_information":[{"code":"3259266","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259266","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":258,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":".Ihc Multiplex Ab Dhmc","code_information":[{"code":"4017641-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88344","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":94,"maximum":258,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Iv Infusion Ea Addtl Hour Er","code_information":[{"code":"3230217","type":"CDM"},{"code":"450","type":"RC"},{"code":"96366","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Iv Infus Ea Addtl Hour Clinic","code_information":[{"code":"3290201","type":"CDM"},{"code":"260","type":"RC"},{"code":"96366","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Rep Intm Fce/ear/nse 2.5 Cm/< Mcr Tech","code_information":[{"code":"710379","type":"CDM"},{"code":"510","type":"RC"},{"code":"12051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":".Kappa Lambda Total Lt Chains Mayo","code_information":[{"code":"4017011","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Orotic Acid Urine   Mayo","code_information":[{"code":"4017647","type":"CDM"},{"code":"300","type":"RC"},{"code":"83921","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Iv Infusion Ea Addtl Hour Er 59 Mod","code_information":[{"code":"3231339-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96366","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Iv Infus Ea Addtl Hour Clinic 59mod","code_information":[{"code":"3290416-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96366","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":94,"maximum":257,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":166},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":94},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Commercial","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":94},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Screw/cortex 1.5 12mm #02.214.112","code_information":[{"code":"3251774","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Screw/cortex 1.5 13mm #02.214.113","code_information":[{"code":"3251775","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Haloperidol Mayo","code_information":[{"code":"4010652","type":"CDM"},{"code":"300","type":"RC"},{"code":"80173","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Gastrin   Mayo","code_information":[{"code":"4011137","type":"CDM"},{"code":"300","type":"RC"},{"code":"82941","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Citrate 24hr Urine Mayo","code_information":[{"code":"4010464","type":"CDM"},{"code":"300","type":"RC"},{"code":"82507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Methylphenidate Ritalin Serum Mayo","code_information":[{"code":"4017804","type":"CDM"},{"code":"300","type":"RC"},{"code":"80360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Electrode/menisceotomy #C5010","code_information":[{"code":"3257643","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":256,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Acyclovir Ointment 15 Gm","code_information":[{"code":"4074012","type":"CDM"},{"code":"259","type":"RC"},{"code":"65162083594","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":93,"maximum":2801,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":165},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":173},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Continuous Med Nebulizer 1st Hr","code_information":[{"code":"4170084","type":"CDM"},{"code":"410","type":"RC"},{"code":"94644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Cast/lwr Leg-plaster","code_information":[{"code":"3250265","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250265","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Screw/canc 6.5mmx75mm #216.075","code_information":[{"code":"3250916","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Walker/boot Tall Xtra Small","code_information":[{"code":"3700870","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Blade/saw Sagittal (Knee)4118-135-090","code_information":[{"code":"3250636","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250636","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Ref Hsv Igm By Ifa Mayo","code_information":[{"code":"4015725","type":"CDM"},{"code":"300","type":"RC"},{"code":"86694","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Walker/boot Tall Med","code_information":[{"code":"3259662","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Walker/boot Tall Lrg","code_information":[{"code":"3259663","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Walker/boot Tall Small","code_information":[{"code":"3259661","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Walker/boot Tall Xlrg","code_information":[{"code":"3259664","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Screw/ti 3.5mmx16mm","code_information":[{"code":"3257618","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":255,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Mycobacterium Tb Quantiferon Gold Plus","code_information":[{"code":"4016281","type":"CDM"},{"code":"300","type":"RC"},{"code":"86480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":254,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Inhibin B Serum   Mayo","code_information":[{"code":"4010373","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":254,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":164},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":93},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Commercial","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":93},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Staph Aureus Molecular Detect","code_information":[{"code":"4016257","type":"CDM"},{"code":"300","type":"RC"},{"code":"87640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":253,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Foley Kit Temp Sensing","code_information":[{"code":"3700336","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4312","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":253,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Streptococcus Pneumo Ag Urine Mayo","code_information":[{"code":"4016820","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":253,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Charge Leukocyte Histamine Release","code_information":[{"code":"4017681","type":"CDM"},{"code":"300","type":"RC"},{"code":"87185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":253,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".C Diff Molecular Dna","code_information":[{"code":"4016216","type":"CDM"},{"code":"300","type":"RC"},{"code":"87493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":253,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Peg Driver F.a.s.t. #Fpd20","code_information":[{"code":"3251764","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":253,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":163},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":171},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Rapamycin Sirolimus Uvmc","code_information":[{"code":"401596","type":"CDM"},{"code":"300","type":"RC"},{"code":"80195","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":252,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"4016683","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":252,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Voriconazole Mayo","code_information":[{"code":"4017625","type":"CDM"},{"code":"300","type":"RC"},{"code":"80285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":252,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Healon .55ml #10294701","code_information":[{"code":"3250611","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":251,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":169},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Estrogens E1 And E2 Frac Mayo","code_information":[{"code":"4010505","type":"CDM"},{"code":"300","type":"RC"},{"code":"82671","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":251,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":169},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Collar/miami J Cervical Short #Mj300","code_information":[{"code":"3251440","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":251,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":169},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Waffle Boot Lrg #3050fwlx060","code_information":[{"code":"3251483","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251483","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":251,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":162},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":92},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":169},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Commercial","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":92},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Charge Uvmc Her2neu Ihc","code_information":[{"code":"4017940","type":"CDM"},{"code":"310","type":"RC"},{"code":"88360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":250,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":161},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"K-wire Standard 1.1mm","code_information":[{"code":"3700427","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":249,"gross_charge":239,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"K-wire Standard 0.9mm","code_information":[{"code":"3700949","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":249,"gross_charge":239,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Complement Total Mayo","code_information":[{"code":"4011053","type":"CDM"},{"code":"300","type":"RC"},{"code":"86162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":249,"gross_charge":239,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Nicotine And Metabolites Serum  Mayo","code_information":[{"code":"4016431","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":249,"gross_charge":239,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Covid19 Pcr Dhmc","code_information":[{"code":"4017712","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":249,"gross_charge":239,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw/schanz 40mmx100mm #294.45","code_information":[{"code":"3255802","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":249,"gross_charge":239,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":91},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":168},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Commercial","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":91},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw/canc 4.0mmx50mm #206.050","code_information":[{"code":"3256991","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Screw/canc 4.0mmx55mm #206.055","code_information":[{"code":"3257853","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Screw/canc 4.0x60mm #206.060","code_information":[{"code":"3251016","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Screw/cortex 2.7 #202.874","code_information":[{"code":"3259857","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Screw/cancellous 4.0x45mm #207.045","code_information":[{"code":"3256982","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Screw/cortex 2.7 #202.876","code_information":[{"code":"3259858","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Pessary Ring W/ Support Sz 5","code_information":[{"code":"3700624","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700624","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Dihydrotestosterone Mayo","code_information":[{"code":"401601","type":"CDM"},{"code":"300","type":"RC"},{"code":"80327","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Surgineedle 150mm Long 172016","code_information":[{"code":"3255821","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":248,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":160},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":167},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Liver function blood test","code_information":[{"code":"4010156","type":"CDM"},{"code":"301","type":"RC"},{"code":"80076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Nm Tc99m Mdp","code_information":[{"code":"4060326","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9503","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Hcv Rna Detect Quant Mayo","code_information":[{"code":"4017755","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Trich Vaginalis Rna  Female Only   Mayo","code_information":[{"code":"4017664","type":"CDM"},{"code":"300","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Hcv Quant W/reflex To Genotype Mayo","code_information":[{"code":"4017901","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Collar/miami J Cervical Regulr #Mj400","code_information":[{"code":"3250476","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Mouthpiece Acapella Blue Non Sterile","code_information":[{"code":"3257359","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":246,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":159},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Forane 0.25 Hr","code_information":[{"code":"4080100","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"K-wire #02.111.902.01","code_information":[{"code":"3251797","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3251797","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"11mm Trocar & Sleeve #C0r21","code_information":[{"code":"3259929","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"12mm Trocar & Sleeve  #C0r29","code_information":[{"code":"3259931","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Post Tib Neurostim Mcr Tech","code_information":[{"code":"711031","type":"CDM"},{"code":"510","type":"RC"},{"code":"64566","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"14mm Cortex Screw","code_information":[{"code":"3700017","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Thyroid Peroxidase Ab  Uvmc","code_information":[{"code":"4011767","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Thyroperoxidase Uvmc","code_information":[{"code":"4010863","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Boot Waffle Large","code_information":[{"code":"3257396","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Boot Waffle Medium","code_information":[{"code":"3257395","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257395","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Boot Waffle Small","code_information":[{"code":"3257394","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Debridementselective (Bf)","code_information":[{"code":"4090245-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97597","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":90,"maximum":245,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":90},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":166},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Commercial","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":90},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Hw-occupational Rn Service","code_information":[{"code":"5010007","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":244,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Exc B9 Lsn Trnk/arm/leg 2.1-3cm Mcr Tech","code_information":[{"code":"710231","type":"CDM"},{"code":"510","type":"RC"},{"code":"11403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":244,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Histamine 24hr Urine Mayo","code_information":[{"code":"4011753","type":"CDM"},{"code":"300","type":"RC"},{"code":"83088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":244,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Hydroxyzine  Mayo","code_information":[{"code":"4017146","type":"CDM"},{"code":"300","type":"RC"},{"code":"80375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":244,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":158},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":165},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Retrieval Bag 5mm","code_information":[{"code":"3250760","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250760","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":243,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":157},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"8mm Optical Trocar #C0q19","code_information":[{"code":"3250817","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250817","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":243,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":157},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Tubing/arthro 10k #10k100","code_information":[{"code":"3251092","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":243,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":157},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":".Charge Von Willebrand Factor Act Mayo","code_information":[{"code":"4016445","type":"CDM"},{"code":"300","type":"RC"},{"code":"85397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":243,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":157},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":".Pyridoxic Acid  Mayo","code_information":[{"code":"4017771","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":243,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":157},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Splint/r.o.m. Right/left Long #041-4","code_information":[{"code":"3254029","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":243,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":157},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Lipoprotein A Serum Mayo","code_information":[{"code":"4011688","type":"CDM"},{"code":"300","type":"RC"},{"code":"83695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":242,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Cmv Igg Titer Uvmc","code_information":[{"code":"4010479","type":"CDM"},{"code":"300","type":"RC"},{"code":"86644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":242,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":89},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":164},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":89},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Hydroxypregnenolone Mayo 17","code_information":[{"code":"4016181","type":"CDM"},{"code":"300","type":"RC"},{"code":"84143","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":241,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":163},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Us Umbilical Artery Doppler","code_information":[{"code":"4060222","type":"CDM"},{"code":"402","type":"RC"},{"code":"76820","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":241,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":163},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Kit/redi Leep Pedi #6061","code_information":[{"code":"3254678","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":241,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":163},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Laparoscopic/tubing/insufflation","code_information":[{"code":"3255474","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":241,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":163},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Tc-99m Mebrofenin","code_information":[{"code":"4070117","type":"CDM"},{"code":"250","type":"RC"},{"code":"45567045501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":88,"maximum":2801,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":163},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Swallowing/oral Function Evaluation I 15","code_information":[{"code":"4380030-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92610","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":88,"maximum":241,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":156},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":163},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Nasopharyngoscopy W/endo/scope Mcr Tech","code_information":[{"code":"710365","type":"CDM"},{"code":"510","type":"RC"},{"code":"92511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Fiberwire #5  #Ar7211","code_information":[{"code":"3251019","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".Bone Marrowbx","code_information":[{"code":"4010401","type":"CDM"},{"code":"761","type":"RC"},{"code":"38221","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Cortisol Free 24 Hr Urine Mayo","code_information":[{"code":"4010179","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Fecal Fat Mayo","code_information":[{"code":"4010206","type":"CDM"},{"code":"300","type":"RC"},{"code":"82710","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Foot Left 1 View","code_information":[{"code":"4040521-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Foot Right 1 View","code_information":[{"code":"4040522-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":88,"maximum":240,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":155},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":88},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":162},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Commercial","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":88},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Tube/lp Cuffed #6dct","code_information":[{"code":"3259705","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259705","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":239,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Activated Protein C Resistance Mayo","code_information":[{"code":"4011577","type":"CDM"},{"code":"300","type":"RC"},{"code":"85307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":239,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":".Lup Aptt Mix 1:1","code_information":[{"code":"4016566","type":"CDM"},{"code":"300","type":"RC"},{"code":"85732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":239,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Ethylene Glycol Serum   Uvmc","code_information":[{"code":"4011970","type":"CDM"},{"code":"300","type":"RC"},{"code":"82693","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":239,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"East Equine Enceph Ab Igg Igm Serum Mayo","code_information":[{"code":"4016539","type":"CDM"},{"code":"300","type":"RC"},{"code":"86652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":239,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Hepatitis B Recombinant Adult  Pf Inj","code_information":[{"code":"4074151","type":"CDM"},{"code":"636","type":"RC"},{"code":"58160082152","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":87,"maximum":2801,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":154},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clpscpy Crvx,w/ Biop Crvx & Endcrc Mcare","code_information":[{"code":"710208","type":"CDM"},{"code":"510","type":"RC"},{"code":"57454","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"H Pylori Stool Ag Uvmc","code_information":[{"code":"4011221","type":"CDM"},{"code":"300","type":"RC"},{"code":"87338","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Ebv Csf Pcr   Mayo","code_information":[{"code":"4010451","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":".Ref M Pneumoniae  By Ifa","code_information":[{"code":"4016278","type":"CDM"},{"code":"300","type":"RC"},{"code":"86738","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Desipramine  Mayo","code_information":[{"code":"4011159","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Drugs Of Abuse Screen, Serum, Mayo","code_information":[{"code":"4018023","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Set/arterial Line","code_information":[{"code":"3251346","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251346","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Chest Single Pa","code_information":[{"code":"4040101-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71045","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Chest Portable Single View","code_information":[{"code":"4040097-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71045","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Chest Portable (Line Placement)","code_information":[{"code":"4040281-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"71045","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":87,"maximum":238,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":161},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":".Bone Marrowapsir","code_information":[{"code":"4010400","type":"CDM"},{"code":"761","type":"RC"},{"code":"38220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Ultrasound Pregnant Uterus Real Time","code_information":[{"code":"710209","type":"CDM"},{"code":"510","type":"RC"},{"code":"76817","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Fluoxetine Mayo","code_information":[{"code":"4017628","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Gluten Igg Mayo","code_information":[{"code":"4016306","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Factor Xi  Uvmc","code_information":[{"code":"4011719","type":"CDM"},{"code":"300","type":"RC"},{"code":"85270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Pac/nasal 7.5cm #Rr751","code_information":[{"code":"3250073","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Labetalol 5 Mg / Ml Vial (20 Ml)","code_information":[{"code":"4073958","type":"CDM"},{"code":"636","type":"RC"},{"code":"40922","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Surgineedle 120mm 172015","code_information":[{"code":"3251516","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251516","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":237,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":153},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":87},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":160},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Commercial","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":87},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Ins Temp Bladder Cath Comp Mcr Tech","code_information":[{"code":"710411","type":"CDM"},{"code":"510","type":"RC"},{"code":"51703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":236,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":152},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Physical Exam 12-17 Yrs Estab Pt Tc Mcr","code_information":[{"code":"710277","type":"CDM"},{"code":"510","type":"RC"},{"code":"99394","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":236,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":152},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Dilate Savlivary Duct","code_information":[{"code":"3282040","type":"CDM"},{"code":"623","type":"RC"},{"code":"42650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Wire/guide Threaded 2.8mm (292.68)","code_information":[{"code":"3256538","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Ultrasound pelvis through vagina","code_information":[{"code":"710107","type":"CDM"},{"code":"402","type":"RC"},{"code":"76830","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Drain External Ear Abscess/hematoma Simp","code_information":[{"code":"710270","type":"CDM"},{"code":"510","type":"RC"},{"code":"69000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Drain Outer Ear Canal Lesion","code_information":[{"code":"710067","type":"CDM"},{"code":"510","type":"RC"},{"code":"69020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Biofeedback","code_information":[{"code":"4090202-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"90901","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Pta Biofeedback","code_information":[{"code":"4091029-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"90901","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":86,"maximum":235,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":159},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Screw/cortical 3.5 T #404.812","code_information":[{"code":"3250991","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":234,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":158},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Mercury Whole Blood Mayo","code_information":[{"code":"4010365","type":"CDM"},{"code":"300","type":"RC"},{"code":"83825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":234,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":158},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Vac Sponge Blk Lrg #M6275053","code_information":[{"code":"3259263","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259263","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":234,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":151},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":86},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":158},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":86},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Intubation","code_information":[{"code":"4080245","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080245","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Initial new patient preventative medicine evaluation (18-39 years)","code_information":[{"code":"700822","type":"CDM"},{"code":"521","type":"RC"},{"code":"99385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Biopsy of prostate gland","code_information":[{"code":"700977","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"55700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Tip/laminar Flow Phaco","code_information":[{"code":"3251076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Tip/phaco #Opocr3020l","code_information":[{"code":"3250780","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250780","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Hysteroscopy Dx Mcr Tech","code_information":[{"code":"710362","type":"CDM"},{"code":"510","type":"RC"},{"code":"58555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Change Perc Tube Or Drainage Cath Inter","code_information":[{"code":"4040471","type":"CDM"},{"code":"320","type":"RC"},{"code":"75984","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Change Perc Tube Or Drainage Cath Inter","code_information":[{"code":"4040472","type":"CDM"},{"code":"320","type":"RC"},{"code":"75984","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Suture V-lock 180 Absorbable","code_information":[{"code":"3700783","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Antithrombin  Activity Mayo","code_information":[{"code":"4015097","type":"CDM"},{"code":"300","type":"RC"},{"code":"85300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Streptozyme Titer Reflex","code_information":[{"code":"4016850","type":"CDM"},{"code":"300","type":"RC"},{"code":"86406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Vanillylmandelic Acid And Homovanillic A","code_information":[{"code":"4017673","type":"CDM"},{"code":"300","type":"RC"},{"code":"84585","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Manganese Serum Mayo","code_information":[{"code":"4011954","type":"CDM"},{"code":"300","type":"RC"},{"code":"83785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":233,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":150},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Wrap/premium Knee #K-24-6-1p","code_information":[{"code":"3250931","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Wrap/ultra Knee #Ek-24-6-1p","code_information":[{"code":"3250932","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Cryotherapy Of Cervix Mcr Tech","code_information":[{"code":"710372","type":"CDM"},{"code":"510","type":"RC"},{"code":"57511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Walker/boot Short Xtra Small","code_information":[{"code":"3700869","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Pac/nasal 7.5cm Anterior/posterior #750","code_information":[{"code":"3257967","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Cath/malecot 10fr #081010","code_information":[{"code":"3253277","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Combitube 37fr #Ae5270 (Sm Adult)","code_information":[{"code":"3258360","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":232,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":85},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":157},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Commercial","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":85},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Hla B27 Mayo","code_information":[{"code":"4011200","type":"CDM"},{"code":"300","type":"RC"},{"code":"86812","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":231,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":156},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Sulfhgb Quant Mayo","code_information":[{"code":"4016498","type":"CDM"},{"code":"300","type":"RC"},{"code":"83060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":231,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":149},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":156},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Syphilis Ab By Tp-pa Mayo","code_information":[{"code":"4016548","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Thyroglobulin Tumor Marker Mayo","code_information":[{"code":"4011998","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Annatto Seed Ige Mayo","code_information":[{"code":"4016671","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Casein Igg Mayo","code_information":[{"code":"4016307","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Surgicel Hemostatic Dsg","code_information":[{"code":"3251515","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Topotecan Hydrochloride: 4 Mg / Vl","code_information":[{"code":"4076189","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021023604","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":84,"maximum":2801,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Work Risk Analysis Per 15 Minutes","code_information":[{"code":"4390312-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Job Pro Analysis Per 15 Minutes","code_information":[{"code":"4390313-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":84,"maximum":230,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":148},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":155},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Insert Emergency Airway","code_information":[{"code":"4170307","type":"CDM"},{"code":"410","type":"RC"},{"code":"31500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":229,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Rem Fb Foot Subcutaneous Mcr Tech","code_information":[{"code":"710334","type":"CDM"},{"code":"510","type":"RC"},{"code":"28190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":229,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Wire/u-nite Ptfc Netinol .038 #250nss38","code_information":[{"code":"3250694","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":229,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Betamethasone 6 Mg/ml (5ml) Inj (Nf)","code_information":[{"code":"4073450","type":"CDM"},{"code":"636","type":"RC"},{"code":"51707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":229,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Ertapenem 1 Gm Vial","code_information":[{"code":"4077918","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150028209","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":84,"maximum":2801,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":84},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Biofeedback Mv","code_information":[{"code":"4090617","type":"CDM"},{"code":"420","type":"RC"},{"code":"90901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Needle/biopsy 21gx5cm","code_information":[{"code":"3251567","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Rapid (Beta) Strep Screen","code_information":[{"code":"4010103","type":"CDM"},{"code":"300","type":"RC"},{"code":"87880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Oxcarbazepine Trileptal Mayo","code_information":[{"code":"4011852","type":"CDM"},{"code":"300","type":"RC"},{"code":"80183","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Ziprasidone Mayo","code_information":[{"code":"4017876","type":"CDM"},{"code":"300","type":"RC"},{"code":"80342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Testing For New Gfr","code_information":[{"code":"4019999","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4019999","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Walker/boot Short Medium","code_information":[{"code":"3259616","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Walker/boot Short Large","code_information":[{"code":"3259617","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Walker/boot Short Small","code_information":[{"code":"3259615","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Walker/boot Short Xlarge","code_information":[{"code":"3259704","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":228,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":147},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":154},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Cannula/disp Shiley Cuffless","code_information":[{"code":"3259685","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259685","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"K-wire Single End Trocar Tip 0.9x150mm","code_information":[{"code":"3700594","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Nm Tc99m Mebrofenin","code_information":[{"code":"4060331","type":"CDM"},{"code":"343","type":"RC"},{"code":"A9537","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"K-wire Dbl End Trocar Tip 0.9x150mm","code_information":[{"code":"3700592","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"K-wire Single End Trocar Tip 1.1x150mm","code_information":[{"code":"3700593","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700593","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Blade Disp Mac S3","code_information":[{"code":"3700952","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Guidewire W Trocar Tip .78  X 8","code_information":[{"code":"3700423","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"K-wire 2.5mmx150mm","code_information":[{"code":"3700192","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Beta 2 Microglobulin Serum Mayo","code_information":[{"code":"4011584","type":"CDM"},{"code":"300","type":"RC"},{"code":"82232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Methadone Metablolites Serum Mayo","code_information":[{"code":"4017238","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":227,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":146},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":83},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":153},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Commercial","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":83},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Needle/biopsy 21gx10cm","code_information":[{"code":"3250246","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250246","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Needle/biopsy 21gx15cm","code_information":[{"code":"3250247","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250247","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Tubing Pathfinder Plus #Pa701","code_information":[{"code":"3251849","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251849","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Exc Mal Lesion + Marg 0.6-1.0cm Mcr Tech","code_information":[{"code":"710377","type":"CDM"},{"code":"510","type":"RC"},{"code":"11601","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Screw 4.0 Ti Cancellous 16","code_information":[{"code":"3700900","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Screw 4.0mm #406-045","code_information":[{"code":"3259520","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Screw/cancellous 4.0 50mm","code_information":[{"code":"3251938","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Acylcarnitines Quant Plasma Mayo","code_information":[{"code":"4017605","type":"CDM"},{"code":"300","type":"RC"},{"code":"82017","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Needle/biopsy 19.5x10cm #N910","code_information":[{"code":"3250251","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250251","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":226,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Screw/cortex 2.7 #202.870","code_information":[{"code":"3259946","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":225,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Babesia Microti Ab Igg Mayo","code_information":[{"code":"4016502","type":"CDM"},{"code":"300","type":"RC"},{"code":"86753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":225,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Pac/nasal 4.5cm Anterior #450","code_information":[{"code":"3258593","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258593","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":225,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Eval Speech Sound Production","code_information":[{"code":"4380015-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92522","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":82,"maximum":225,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":145},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":152},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Guidewire .038 #630-208b","code_information":[{"code":"3258849","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":".Covid19 Charge Broad Inst","code_information":[{"code":"4017721","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":".Culture Ana (& Aero) Other Uvmc","code_information":[{"code":"4010836","type":"CDM"},{"code":"300","type":"RC"},{"code":"87075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Acapella/system Vpep","code_information":[{"code":"3257570","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257570","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Needle/kopans Modified 15.0","code_information":[{"code":"3250553","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250553","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Set/drainage Pouch G14653","code_information":[{"code":"3250805","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Ankle Right 1 View","code_information":[{"code":"4040504-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Ankle Left 1 View","code_information":[{"code":"4040503-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":82,"maximum":224,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":144},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":82},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":151},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":82},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Guide Wire #292.622","code_information":[{"code":"3250141","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":223,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Lap Port Closure System","code_information":[{"code":"3700442","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":223,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Biopsy Of Tongue, Anterior Mcr Tech","code_information":[{"code":"710409","type":"CDM"},{"code":"510","type":"RC"},{"code":"41100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":223,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Organic Acid Screen Urine Mayo","code_information":[{"code":"4016187","type":"CDM"},{"code":"300","type":"RC"},{"code":"83919","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":223,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Spot Ex Endoscopic Tattoo","code_information":[{"code":"3257874","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":223,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Iv Infuse Hydration Ea Addtl Hr Er","code_information":[{"code":"3230317","type":"CDM"},{"code":"450","type":"RC"},{"code":"96361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":222,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Iv Infuse Hydration  Ea Addtl Hr Clinic","code_information":[{"code":"3290307","type":"CDM"},{"code":"260","type":"RC"},{"code":"96361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":222,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Insrt Bladder Cath Mcr Tech","code_information":[{"code":"710058","type":"CDM"},{"code":"510","type":"RC"},{"code":"51701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":222,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Pessary Ring W/ Support Sz 4","code_information":[{"code":"3700622","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":222,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Amiodarone (Drip) 360 Mg / 200 Ml","code_information":[{"code":"4078910","type":"CDM"},{"code":"636","type":"RC"},{"code":"43066036020","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":81,"maximum":2801,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":143},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":150},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}],"drug_information":{"unit":360,"type":"ME"}},{"description":"Consult & Transportation To Hanover","code_information":[{"code":"4080258","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080258","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Camisole/recovery Large","code_information":[{"code":"3251918","type":"CDM"},{"code":"274","type":"RC"},{"code":"L8015","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Camisole/recovery Medium","code_information":[{"code":"3251917","type":"CDM"},{"code":"274","type":"RC"},{"code":"L8015","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Camisole/recovery Small","code_information":[{"code":"3251916","type":"CDM"},{"code":"274","type":"RC"},{"code":"L8015","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Camisole/recovery Xxlg","code_information":[{"code":"3251919","type":"CDM"},{"code":"274","type":"RC"},{"code":"L8015","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cryptosporidium Ag Feces Mayo","code_information":[{"code":"4017125","type":"CDM"},{"code":"300","type":"RC"},{"code":"87328","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Gtt 3 Hr","code_information":[{"code":"4016855","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Rast Molds Mayo","code_information":[{"code":"4026042","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Protein Electro Body Fluid Mayo","code_information":[{"code":"4016061","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Interpet & Report Mayo","code_information":[{"code":"4016576","type":"CDM"},{"code":"300","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Protein Electro Body Fluid Mayo","code_information":[{"code":"4012246","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Waffle Heel Elevator #345cx","code_information":[{"code":"3259498","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259498","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":220,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":142},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":81},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":149},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":81},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Dilantin Free Mayo","code_information":[{"code":"4011460","type":"CDM"},{"code":"300","type":"RC"},{"code":"80186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":219,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Albumin 24hr Urine Mayo","code_information":[{"code":"4010419","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":219,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"H Influenza B Ab Igg Mayo","code_information":[{"code":"4017084","type":"CDM"},{"code":"300","type":"RC"},{"code":"86684","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":219,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Set/fluid Warmer Hi Flow","code_information":[{"code":"3256967","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":219,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Blanket Underbody Full Access","code_information":[{"code":"3259379","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259379","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":219,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":148},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Wire/sensor .035 #670308","code_information":[{"code":"3258848","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Screw/cortex 1.5 10mm #02.214.110","code_information":[{"code":"3251773","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Guidewire Mcr","code_information":[{"code":"710396","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Aripiprazole (Abilify)   Mayo","code_information":[{"code":"4011451","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Myeloperoxidase Ab Mayo","code_information":[{"code":"4016040","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Acetylcholine Receptor Modulating Ab May","code_information":[{"code":"4017834","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Pac/nasal 5.5cm Anterior #550","code_information":[{"code":"3257977","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":218,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":141},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":80},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Commercial","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":80},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Bx Cervix, W Or W/o Fulguration Mcare","code_information":[{"code":"710192","type":"CDM"},{"code":"510","type":"RC"},{"code":"57500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Ssa Ro Antibody Igg  Mayo","code_information":[{"code":"4011595","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":".Myos Immunoassay Non Ab","code_information":[{"code":"4016322","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Everolimus Mayo","code_information":[{"code":"4017168","type":"CDM"},{"code":"300","type":"RC"},{"code":"80169","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Cyclosporine Uvmc","code_information":[{"code":"4011214","type":"CDM"},{"code":"300","type":"RC"},{"code":"80158","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":".Hiv 2 Ab Mayo","code_information":[{"code":"4017154","type":"CDM"},{"code":"300","type":"RC"},{"code":"86702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Carbohydrate Urine Mayo","code_information":[{"code":"4017612","type":"CDM"},{"code":"300","type":"RC"},{"code":"84377","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":217,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":140},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":147},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Set/8/10 Dilator Sheath #260-120","code_information":[{"code":"3251385","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251385","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Albuterol Inhaler","code_information":[{"code":"4671885","type":"CDM"},{"code":"259","type":"RC"},{"code":"17270072101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":79,"maximum":2801,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lapilock K-wire 2.0mm","code_information":[{"code":"3700529","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Tetanus Toxoid Igg Ab Mayo","code_information":[{"code":"4010750","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Cord Blood Gas Arterial","code_information":[{"code":"4016688","type":"CDM"},{"code":"300","type":"RC"},{"code":"82805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Cord Blood Gas Venous","code_information":[{"code":"4016689","type":"CDM"},{"code":"300","type":"RC"},{"code":"82805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Lens/morgan Therapeutic  Mt2000","code_information":[{"code":"3253641","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Vac Granufoam Sm #M8275051/5","code_information":[{"code":"3259262","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259262","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Iodixanol Injection 270 Mg/ml (150 Ml)","code_information":[{"code":"4070198","type":"CDM"},{"code":"255","type":"RC"},{"code":"40722","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":216,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":146},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":270,"type":"ME"}},{"description":"Scissors Epix","code_information":[{"code":"32510023","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Pulse Ox Multiple Determinations","code_information":[{"code":"4175000","type":"CDM"},{"code":"460","type":"RC"},{"code":"94761","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Chest Percussion Physiotherapy","code_information":[{"code":"4170154","type":"CDM"},{"code":"410","type":"RC"},{"code":"94667","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Guide Wire 240mm #03.010.025","code_information":[{"code":"3251728","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Screw/bone 38mm #12-7038","code_information":[{"code":"3253387","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Screw/bone 4.5x50mm #7112-9250","code_information":[{"code":"3250369","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Screw/bone 40mm","code_information":[{"code":"3253388","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Screw/bone 42mm #7112-9242","code_information":[{"code":"3253507","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Screw/bone 44mm#12-7044","code_information":[{"code":"3253389","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Screw/bone 46mm #12-7046","code_information":[{"code":"3253616","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Wire/kirschner Trded Spade Pnt Tip 280mm","code_information":[{"code":"3252047","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Vinorelbine 50 Mg / 5 Ml Vial","code_information":[{"code":"4076146","type":"CDM"},{"code":"636","type":"RC"},{"code":"70341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Voriconazole 200 Mg Vial","code_information":[{"code":"4078056","type":"CDM"},{"code":"636","type":"RC"},{"code":"49319","type":"CPT","modifier":"28"}],"standard_charges":[{"setting":"outpatient","modifier_code":["28"],"minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Pin/rush 114mm #802-01-03","code_information":[{"code":"3253210","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":215,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":139},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":79},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":79},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Electrodr/laparscopic Spatula #E2771-36","code_information":[{"code":"3251321","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251321","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Screw/3.5 Non Locking 18mm","code_information":[{"code":"3252107","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Inj For Visual Of Ileal Conduit Ureterop","code_information":[{"code":"4040400","type":"CDM"},{"code":"761","type":"RC"},{"code":"50690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Peri-loc 3.5mm X 12mm","code_information":[{"code":"3700001","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Hcg Quant Serum","code_information":[{"code":"4010205","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cannabinoid Confirm Urine Mayo","code_information":[{"code":"4011971","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Covid19 Charge Rrmc","code_information":[{"code":"4017777","type":"CDM"},{"code":"300","type":"RC"},{"code":"U0002","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Barbiturate Urine Confirmation  Mayo","code_information":[{"code":"4011974","type":"CDM"},{"code":"300","type":"RC"},{"code":"80345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Collar/miami J Cervical Tall #Mj500","code_information":[{"code":"3250477","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Collar/miami J Cervical Jr Pedi 2-6yrs","code_information":[{"code":"3251971","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Rplnt Comp Non Tunnled Central Cath","code_information":[{"code":"4040316","type":"CDM"},{"code":"361","type":"RC"},{"code":"36580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Collar/miami J Cervical Jr Pedi 6-12yrs","code_information":[{"code":"3251972","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":214,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":138},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":145},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Guide Wire #80-1525","code_information":[{"code":"3251532","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Pack/phaco #Opo071","code_information":[{"code":"3250779","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250779","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Screw Peri-loc 3.5mm T20 28mm","code_information":[{"code":"3700602","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Screw Peri-loc 3.5mm T20 42mm","code_information":[{"code":"3700601","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Screw Peri-loc 3.5mm T20 50mm","code_information":[{"code":"3700599","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Screw Peri-loc 3.5mm T20 60mm","code_information":[{"code":"3700613","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Hva Pedi Urine","code_information":[{"code":"4016416","type":"CDM"},{"code":"300","type":"RC"},{"code":"83150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Kleihauer Test Blood   Uvmc","code_information":[{"code":"4011620","type":"CDM"},{"code":"300","type":"RC"},{"code":"85460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Venous Blood Gas","code_information":[{"code":"4016549","type":"CDM"},{"code":"300","type":"RC"},{"code":"82805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Abg (Lab Order)","code_information":[{"code":"4016312","type":"CDM"},{"code":"300","type":"RC"},{"code":"82805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Bacterial Path Detect Stool Uvmc","code_information":[{"code":"4017025","type":"CDM"},{"code":"300","type":"RC"},{"code":"87505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Needle/sclero #1813","code_information":[{"code":"3250294","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Vinblastine 10 Mg Vial","code_information":[{"code":"4073316","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323027810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":78,"maximum":2801,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Dilation Syringe #Maj-1740","code_information":[{"code":"3258325","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Unattended Esot","code_information":[{"code":"4390412-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97014","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Electrical Stimulation Unattended Mv","code_information":[{"code":"4090602-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97014","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Electrical Stimulation Unattended","code_information":[{"code":"4090110-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97014","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Pta Electrical Stimulation Unattended","code_information":[{"code":"4091019-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97014","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Unattended Es(bf)","code_information":[{"code":"4090252-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97014","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":78,"maximum":213,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":144},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Screw/cortex 3.5mmx10mm #204.810","code_information":[{"code":"3256654","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":212,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Destruct Vulva Lesions Simple Mcr Tech","code_information":[{"code":"710371","type":"CDM"},{"code":"510","type":"RC"},{"code":"56501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":212,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cyto Molecular Report Chrm Bm Mayo","code_information":[{"code":"4016481","type":"CDM"},{"code":"300","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":212,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":137},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":78},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":78},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Phenylephrine 2.5% Ophth 2ml","code_information":[{"code":"4079042","type":"CDM"},{"code":"250","type":"RC"},{"code":"70756062925","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":77,"maximum":2801,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Drain Jp Round 19frx30cm","code_information":[{"code":"3700564","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700564","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw/cortex 3.5 #02.200.018","code_information":[{"code":"3259854","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Trocar Wire, Single 1.6x150mm 4112008","code_information":[{"code":"3700069","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Charge Mayo Antidepressants Class 3","code_information":[{"code":"4016450","type":"CDM"},{"code":"300","type":"RC"},{"code":"80333","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Progesterone  Uvmc","code_information":[{"code":"4012281","type":"CDM"},{"code":"300","type":"RC"},{"code":"84144","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Tegretol","code_information":[{"code":"4010530","type":"CDM"},{"code":"300","type":"RC"},{"code":"80156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Charge Anaplas Phagocytophilum Igg Mayo","code_information":[{"code":"4016946","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Ehrlichia Chaff Ab Igg Mayo","code_information":[{"code":"4016947","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Mycobacterial Culture Blood Mayo","code_information":[{"code":"4016272","type":"CDM"},{"code":"300","type":"RC"},{"code":"87116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Tegretol Carbamazepine  Uvm","code_information":[{"code":"4017695","type":"CDM"},{"code":"300","type":"RC"},{"code":"80156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Toxoplasma Igm Mayo","code_information":[{"code":"4010480","type":"CDM"},{"code":"300","type":"RC"},{"code":"86778","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Rapid Pac 5.5cm #Rr530","code_information":[{"code":"3259535","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259535","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":211,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":136},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Endomysial Iga Ab Mayo","code_information":[{"code":"4010933","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":210,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":142},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Cuff/cryo  Med Knee Only  11a01","code_information":[{"code":"3255827","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":210,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":142},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Tube/trach Pedi Size-2 #2pt","code_information":[{"code":"3256223","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":210,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":142},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Tube/trach Pedi Size-3 #3pt","code_information":[{"code":"3256224","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":210,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":77},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":142},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":77},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Initial new patient preventative medicine evaluation (40-64 years)","code_information":[{"code":"700823","type":"CDM"},{"code":"521","type":"RC"},{"code":"99386","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Exc B9 Lsn Hd/nk/hnd/ft 1.1-2cm Mcr Tech","code_information":[{"code":"710235","type":"CDM"},{"code":"510","type":"RC"},{"code":"11422","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Sex Hormone Binding Globulin Uvm","code_information":[{"code":"4010364","type":"CDM"},{"code":"300","type":"RC"},{"code":"84270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":".Cd4 Cd8 Abs Ct Uvmc","code_information":[{"code":"4016402","type":"CDM"},{"code":"300","type":"RC"},{"code":"86360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Iodine Serum Mayo","code_information":[{"code":"4016387","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Rotavirus Antigen Feces Mayo","code_information":[{"code":"4010545","type":"CDM"},{"code":"300","type":"RC"},{"code":"87425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Albumin Body Fluid Mayo","code_information":[{"code":"4016925","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Copeptin Proavap Mayo","code_information":[{"code":"4015450","type":"CDM"},{"code":"300","type":"RC"},{"code":"84588","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Intrinsic Factor Blocking Ab Mayo","code_information":[{"code":"4010255","type":"CDM"},{"code":"300","type":"RC"},{"code":"86340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Quetiapine (Seroquel) Serum Mayo","code_information":[{"code":"4017893","type":"CDM"},{"code":"300","type":"RC"},{"code":"80342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Uric Acid Urine 24 Hour Mayo","code_information":[{"code":"4010414","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Guide Wire #Ws-1106st","code_information":[{"code":"3257782","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Needle/kopans 20gax5cm #Dkbl-20-5.0","code_information":[{"code":"3259825","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Iv Infuse Hydration Ea Adtl Hr Er 59 Mod","code_information":[{"code":"3231337-59","type":"CDM"},{"code":"450","type":"RC"},{"code":"96361","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":76,"maximum":209,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":135},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":141},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Cast Full Arm-fiber","code_information":[{"code":"3250282","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250282","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Uterine Manipulator #1151","code_information":[{"code":"3251288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Elastic With Condylar Pads","code_information":[{"code":"701042","type":"CDM"},{"code":"290","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Excision Tongue Lesion Wo Closure Mcare","code_information":[{"code":"710061","type":"CDM"},{"code":"510","type":"RC"},{"code":"41110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Brace Ankle/foot","code_information":[{"code":"3700795","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":".Thyroglobulin Ab","code_information":[{"code":"4015083","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":".Charge Uvmc Ihc Multiplex Stain","code_information":[{"code":"4017934","type":"CDM"},{"code":"310","type":"RC"},{"code":"88344","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Cat Scratch Fever Ab Mayo","code_information":[{"code":"4011134","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":208,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":134},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Kit/concise Cement Sculps #111000","code_information":[{"code":"3256500","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":207,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Flutter Valve Assistance","code_information":[{"code":"4170025","type":"CDM"},{"code":"410","type":"RC"},{"code":"94664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":207,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Chest Pt/postural Drainage Subsequent","code_information":[{"code":"4170014","type":"CDM"},{"code":"410","type":"RC"},{"code":"94668","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":207,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Flutter Valve Subsequent","code_information":[{"code":"4170035","type":"CDM"},{"code":"410","type":"RC"},{"code":"94664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":207,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Re Evaluation Ot","code_information":[{"code":"4390022-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97168","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":76,"maximum":207,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":76},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":140},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":76},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Tray/combined Spinal/epidural W/cath","code_information":[{"code":"3259478","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":206,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":139},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Carbohydrate Deficient Transferrin Mayo","code_information":[{"code":"4016509","type":"CDM"},{"code":"300","type":"RC"},{"code":"82373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":206,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":139},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Rast Nuts Allergen Profile  Mayo","code_information":[{"code":"4016012","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":206,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":139},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"..Histoplasmosis Antibody  Mayo","code_information":[{"code":"4011032","type":"CDM"},{"code":"300","type":"RC"},{"code":"86698","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":206,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":139},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Methgb Quant Mayo","code_information":[{"code":"4016497","type":"CDM"},{"code":"300","type":"RC"},{"code":"83050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":206,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":139},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Iv Infuse Hydrat  Ea Adtl Hr Clin 59mod","code_information":[{"code":"3290414-59","type":"CDM"},{"code":"260","type":"RC"},{"code":"96361","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":75,"maximum":206,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":133},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":139},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw/cortex 2.7 #402.872","code_information":[{"code":"3251592","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw/cortex 2.7 #402.874","code_information":[{"code":"3251593","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Blade 9 X 25 Mm","code_information":[{"code":"3259543","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Drain Jp/round 15frx30cm","code_information":[{"code":"3700565","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700565","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Carr-locke Injection Needle  Bx00711813","code_information":[{"code":"3251859","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251859","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Blade Long Narrow 5.5 X 25mm","code_information":[{"code":"3259542","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"K-wire 1.2 X 150mm","code_information":[{"code":"3700190","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Hep C Rna Quant Uvmc","code_information":[{"code":"4011234","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Charge Uvmc Hep C Rna Quant Reflex","code_information":[{"code":"4017951","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Mod Acid Fast Parasit Cyclosp Stool Uvm","code_information":[{"code":"4011569","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Tryptase Mayo","code_information":[{"code":"4011948","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Blade Med Narrow 5.5 X 18mm","code_information":[{"code":"3259467","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259467","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":205,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":132},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":75},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Commercial","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":75},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Us Fine Needle Asp Each Addtl Lesion","code_information":[{"code":"4040475","type":"CDM"},{"code":"761","type":"RC"},{"code":"10006","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":204,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Annual Wellness Visit Subsq Mcr Tech","code_information":[{"code":"711043","type":"CDM"},{"code":"510","type":"RC"},{"code":"G0439","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":204,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"T3 Total  Uvmc","code_information":[{"code":"4010308","type":"CDM"},{"code":"300","type":"RC"},{"code":"84480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":204,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Vitamin E Mayo","code_information":[{"code":"4011147","type":"CDM"},{"code":"300","type":"RC"},{"code":"84446","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":204,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":138},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Cannula/threaded Cl W/ Obturator 8.5x75","code_information":[{"code":"3259687","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Screw 2.4x08mm #401.808.96","code_information":[{"code":"3251753","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Screw 2.4x09mm #401.809.96","code_information":[{"code":"3251754","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Screw 2.4x12mm #401.812.96","code_information":[{"code":"3251752","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Pack/custom Cataract","code_information":[{"code":"3259657","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259657","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Ab Id/ea Panel-arc*","code_information":[{"code":"4020166","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Nickel Serum  Mayo","code_information":[{"code":"4017623","type":"CDM"},{"code":"300","type":"RC"},{"code":"83885","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Developmental Testing I (Limited)15 Min","code_information":[{"code":"4380050-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"96110","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":74,"maximum":203,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Mometasone 220 Mcg Inhaler (14 Day)","code_information":[{"code":"4079171","type":"CDM"},{"code":"250","type":"RC"},{"code":"78206011403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":74,"maximum":2801,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":131},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":137},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}],"drug_information":{"unit":22,"type":"ME"}},{"description":"Surgical Cleansing Mastoid Cavity Mcare","code_information":[{"code":"710169","type":"CDM"},{"code":"510","type":"RC"},{"code":"69220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":202,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Endo Cuff Adult Lg Green","code_information":[{"code":"3251900","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251900","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":202,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Endo Cuff Adult Sm Purple","code_information":[{"code":"3251901","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":202,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Hep B Core Igm Ab Mayo","code_information":[{"code":"4011323","type":"CDM"},{"code":"300","type":"RC"},{"code":"86705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":202,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Visipaque 100ml #V025","code_information":[{"code":"3258414","type":"CDM"},{"code":"636","type":"RC"},{"code":"40722","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":202,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Ulipristal Acetate 30 Mg Tablet","code_information":[{"code":"4070246","type":"CDM"},{"code":"250","type":"RC"},{"code":"73302045601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":74,"maximum":2801,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":130},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":74},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":136},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Psychotherapy 60 Minutes","code_information":[{"code":"4340006","type":"CDM"},{"code":"912","type":"RC"},{"code":"W9170","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":201,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Anesthesia 15min Tech","code_information":[{"code":"711042","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP711042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":201,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw/cortex Peri-loc 2.7mmx18mm T15 S-t","code_information":[{"code":"3252079","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw/cortex Peri-loc 2.7mmx50mm T15 S-t","code_information":[{"code":"3252078","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw/peri-loc Crtx T20 3.5mm X 12mm","code_information":[{"code":"3252130","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw/peri-loc Crtx T20 3.5mm X 16mm","code_information":[{"code":"3252129","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Guidewire Trocar Tip 0.86mm","code_information":[{"code":"3700553","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":".Charge Rrmc Rapid Id Anaerobe Panel","code_information":[{"code":"4017272","type":"CDM"},{"code":"300","type":"RC"},{"code":"87076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":".Charge Uvmc Ish Single Probe Ini","code_information":[{"code":"4016959","type":"CDM"},{"code":"300","type":"RC"},{"code":"88365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Amikacin Trough Mayo","code_information":[{"code":"4015056","type":"CDM"},{"code":"300","type":"RC"},{"code":"80150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Dermabond Propen #Dpp6","code_information":[{"code":"3258076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Sodium Phosphate 3 Mm / Ml (45 Mm/15 Ml)","code_information":[{"code":"4074223","type":"CDM"},{"code":"250","type":"RC"},{"code":"40973","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Cath Nasostat","code_information":[{"code":"3251845","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Vac Cannister W/gel #320058/10","code_information":[{"code":"3259280","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259280","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":200,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":129},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":135},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Amiodarone 150 Mg / 100 Ml D5w (Bolus)","code_information":[{"code":"4079124","type":"CDM"},{"code":"636","type":"RC"},{"code":"61553072548","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":73,"maximum":2801,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Surgifoam 8x3 Cm","code_information":[{"code":"3701085","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701085","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":199,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Medtox Drug Screen No Reflex","code_information":[{"code":"4016207","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":199,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Medtox Drug Screen W/confirmation","code_information":[{"code":"4016448","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":199,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Phospholipids Ab Mayo","code_information":[{"code":"4010370","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":199,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Cardiolipin Ab Iga Mayo","code_information":[{"code":"4015471","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":199,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Trap/double Finger Large #923485","code_information":[{"code":"3259083","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":199,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":128},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":73},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":134},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":73},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Cardiac Monitor 3-7 Days Recording","code_information":[{"code":"4030346","type":"CDM"},{"code":"731","type":"RC"},{"code":"93242","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Cardiac Monitor 8-15 Days Recording","code_information":[{"code":"4030348","type":"CDM"},{"code":"731","type":"RC"},{"code":"93246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Rep Wnd Trnk/ext/scalp 2.5 Cm/< Mcr Tech","code_information":[{"code":"710242","type":"CDM"},{"code":"510","type":"RC"},{"code":"12001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x14mm Cortex","code_information":[{"code":"3700574","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x12mm","code_information":[{"code":"3700573","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x16mm","code_information":[{"code":"3700575","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x24mm","code_information":[{"code":"3700577","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x18mm","code_information":[{"code":"3700607","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x22mm Cortex","code_information":[{"code":"3700576","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x30mm","code_information":[{"code":"3700684","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x20mm","code_information":[{"code":"3700779","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x13mm","code_information":[{"code":"3700608","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x26mm Cortex","code_information":[{"code":"3700812","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x28mm","code_information":[{"code":"3700578","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x32mm","code_information":[{"code":"3700685","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x34mm","code_information":[{"code":"3700797","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Screw Evos 3.5x40mm","code_information":[{"code":"3700873","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Vancomycin Trough","code_information":[{"code":"4011932","type":"CDM"},{"code":"300","type":"RC"},{"code":"80202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Valproic Acid Total","code_information":[{"code":"4010312","type":"CDM"},{"code":"300","type":"RC"},{"code":"80164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Vancomycin Random","code_information":[{"code":"4011015","type":"CDM"},{"code":"300","type":"RC"},{"code":"80202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Cystatin C W Gfr Serum Mayo","code_information":[{"code":"4016860","type":"CDM"},{"code":"300","type":"RC"},{"code":"82610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Porphobilinogen Random Urine Mayo","code_information":[{"code":"4011205","type":"CDM"},{"code":"300","type":"RC"},{"code":"84110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Sensor/disposable Pedi Sp02","code_information":[{"code":"3250857","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Ethyl Chloride Spray 100%","code_information":[{"code":"4070153","type":"CDM"},{"code":"259","type":"RC"},{"code":"38600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":198,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Triamcinolone 40 Mg / 5 Ml [Cvo 10mgchg]","code_information":[{"code":"4077850","type":"CDM"},{"code":"636","type":"RC"},{"code":"30293","type":"CPT","modifier":"20"}],"standard_charges":[{"setting":"outpatient","modifier_code":["20"],"minimum":72,"maximum":197,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Interpulse Debridement Sys #0210-118-000","code_information":[{"code":"3257910","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":197,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":127},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":72},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":133},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":72},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Tetanus, Diphtheria, & Pertussis Vaccine","code_information":[{"code":"4077835","type":"CDM"},{"code":"636","type":"RC"},{"code":"58160084252","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":71,"maximum":2801,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":126},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":132},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Monoclonal Urine 24 Hr Uvmc","code_information":[{"code":"4010825","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4010825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":196,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":126},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":132},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Splint/night Large","code_information":[{"code":"3700756","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4397","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":196,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":126},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":132},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Blood test, clotting time","code_information":[{"code":"4016682","type":"CDM"},{"code":"301","type":"RC"},{"code":"85610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":196,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":126},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":132},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Dat Mono C3 Dhmc","code_information":[{"code":"4016557","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":196,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":126},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":132},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4016224","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":194,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Endoloop/0 Vicryl 18 Ej10g","code_information":[{"code":"3254522","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254522","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":194,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Pds 11 Endoloop Ligature 0-18","code_information":[{"code":"3700138","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":194,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Culture Anaerobic Charge Rrmc","code_information":[{"code":"4017176","type":"CDM"},{"code":"300","type":"RC"},{"code":"87075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":194,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Isentress 400 Mg Oral Tab","code_information":[{"code":"4078543","type":"CDM"},{"code":"250","type":"RC"},{"code":"60227","type":"CPT","modifier":"61"}],"standard_charges":[{"setting":"outpatient","modifier_code":["61"],"minimum":71,"maximum":194,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Washer/#219.91","code_information":[{"code":"3255973","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Colposcopy Cervix, W/biopsy Cervix Mcr","code_information":[{"code":"710212","type":"CDM"},{"code":"510","type":"RC"},{"code":"57455","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Screw 2.7 #202.816","code_information":[{"code":"3258047","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Screw 2.7 Sz12 #202.812","code_information":[{"code":"3251717","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Screw 2.7 Sz18 #202.818","code_information":[{"code":"3251718","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Screw 2.7 Sz20 #202.820","code_information":[{"code":"3251719","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Ccp Cyclic Citrullinated Peptide Uvmc","code_information":[{"code":"4011941","type":"CDM"},{"code":"300","type":"RC"},{"code":"86200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Digoxin","code_information":[{"code":"4010112","type":"CDM"},{"code":"300","type":"RC"},{"code":"80162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Insulin Uvmc","code_information":[{"code":"4011054","type":"CDM"},{"code":"300","type":"RC"},{"code":"83525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Cocaine Metab Confirm Urine Mayo","code_information":[{"code":"4011929","type":"CDM"},{"code":"300","type":"RC"},{"code":"80353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Covid19 Charge Dhmc","code_information":[{"code":"4017724","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Covid19 Pcr Dhmc (Employee Only)","code_information":[{"code":"4017354-CS","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT","modifier":"CS"}],"standard_charges":[{"setting":"outpatient","modifier_code":["CS"],"minimum":71,"maximum":193,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":125},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":71},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":131},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":71},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"New patient office or other outpatient visit, 60 min","code_information":[{"code":"700737","type":"CDM"},{"code":"521","type":"RC"},{"code":"99205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Bcg Live Intra Vesical Per Install","code_information":[{"code":"710256","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9030","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Blade Md/wide 7 X 18.5 Mm","code_information":[{"code":"3259649","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Pcr,nucleic Acid Amplification","code_information":[{"code":"4015177","type":"CDM"},{"code":"300","type":"RC"},{"code":"87801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Phytonadione Oral Syringe Kit","code_information":[{"code":"4070136","type":"CDM"},{"code":"250","type":"RC"},{"code":"40991","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cath/l.f. Coude 14 2way Silver Coated","code_information":[{"code":"3251394","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Debridementnon-selective (Bf)","code_information":[{"code":"4090244-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97602","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":70,"maximum":192,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":124},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":130},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Guidewire 292.72","code_information":[{"code":"3700518","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":191,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Culture Ana (& Aero) Fluid  Uvmc","code_information":[{"code":"4012250","type":"CDM"},{"code":"300","type":"RC"},{"code":"87075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":191,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Ferritin  Uvm","code_information":[{"code":"4017691","type":"CDM"},{"code":"300","type":"RC"},{"code":"82728","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":191,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":129},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Nicardipine 20 Mg / 200 Ml [Premix]","code_information":[{"code":"4070254","type":"CDM"},{"code":"636","type":"RC"},{"code":"43066002110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":70,"maximum":2801,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Carboprost Tromethamine 250 Mcg Amp","code_information":[{"code":"4074130","type":"CDM"},{"code":"250","type":"RC"},{"code":"90856","type":"CPT","modifier":"8"}],"standard_charges":[{"setting":"outpatient","modifier_code":["8"],"minimum":70,"maximum":190,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":".Clin Path Interpretation/report","code_information":[{"code":"4016111","type":"CDM"},{"code":"300","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":190,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Ristocetin Co Factor","code_information":[{"code":"4016543","type":"CDM"},{"code":"300","type":"RC"},{"code":"85245","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":190,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Swallowing/oral Funct Treatment I 15m","code_information":[{"code":"4380040-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92526","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":70,"maximum":190,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":123},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":70},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":70},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Zipwire 0.035x150cc Angled Standard Shaf","code_information":[{"code":"3250971","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":189,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":122},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Blade Reciprocating Hip","code_information":[{"code":"3251012","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":189,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":122},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Retrieval Bag 10mm","code_information":[{"code":"3259934","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":189,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":122},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Splint/night Medium","code_information":[{"code":"3700757","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4397","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":189,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":122},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Theophylline","code_information":[{"code":"4010236","type":"CDM"},{"code":"300","type":"RC"},{"code":"80198","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":189,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":122},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Charge Dhmc Tissuelevel I","code_information":[{"code":"4011285-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88300","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":69,"maximum":189,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":122},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":128},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Goals Group Therapy","code_information":[{"code":"4340008","type":"CDM"},{"code":"912","type":"RC"},{"code":"90899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Cast/forearm-wrst Fg","code_information":[{"code":"3250281","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250281","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Mod Sedation By Same Initial <5 Years","code_information":[{"code":"3239867","type":"CDM"},{"code":"370","type":"RC"},{"code":"99151","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Screw/cortex 3.5 22  #02.200.022","code_information":[{"code":"3251348","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"5mm Trocar & Sleeve #C0q04","code_information":[{"code":"3259927","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259927","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Cath/cone Tip 6fr #400-131","code_information":[{"code":"3259527","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259527","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Drain/sump Abramson 80450","code_information":[{"code":"3255307","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Incision Of Eardrum Mcr Tech","code_information":[{"code":"710392","type":"CDM"},{"code":"510","type":"RC"},{"code":"69420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Procalcitonin Rrmc","code_information":[{"code":"4017252","type":"CDM"},{"code":"300","type":"RC"},{"code":"84145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Immuno Fix Urine A Uvmc","code_information":[{"code":"4015064","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Calcitonin Mayo","code_information":[{"code":"4011000","type":"CDM"},{"code":"300","type":"RC"},{"code":"82308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Digoxin Uvm","code_information":[{"code":"4017694","type":"CDM"},{"code":"300","type":"RC"},{"code":"80162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Silvasorb Gel #Msc9301h","code_information":[{"code":"3259656","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259656","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":188,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Proparacaine 0.5% Ophth Soln","code_information":[{"code":"4078554","type":"CDM"},{"code":"259","type":"RC"},{"code":"61314001601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":69,"maximum":2801,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":69},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":127},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Feeding Tube Gastrostomy 20fr","code_information":[{"code":"3700810","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":187,"gross_charge":180,"discounted_cash":135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Tray/thoracentesis","code_information":[{"code":"3252195","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":187,"gross_charge":180,"discounted_cash":135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Cyclophosphamide 500 Mg Vial","code_information":[{"code":"4073304","type":"CDM"},{"code":"636","type":"RC"},{"code":"10019093801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":68,"maximum":2801,"gross_charge":180,"discounted_cash":135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Epirubicin 50 Mg / 25 Ml Vial","code_information":[{"code":"4077585","type":"CDM"},{"code":"636","type":"RC"},{"code":"95091","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":68,"maximum":187,"gross_charge":180,"discounted_cash":135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":121},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Peri-loc 3.5 Mm X 14mm","code_information":[{"code":"3252106","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Bx Of Uterus Lining Mcr Tech","code_information":[{"code":"710066","type":"CDM"},{"code":"510","type":"RC"},{"code":"58100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Screw 3.5 Non Locking S/n 20 Mm","code_information":[{"code":"3700374","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Screw Cortex 3.5mm T20 20mm St","code_information":[{"code":"3700369","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Catheter 14fr Coude Silicone","code_information":[{"code":"3700472","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700472","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Von Will Fact Multimer Analysis Mayo","code_information":[{"code":"4018012","type":"CDM"},{"code":"300","type":"RC"},{"code":"85247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Pump/symphony Double System","code_information":[{"code":"3259064","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":186,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":120},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":126},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Fluoroscopy Of Mediport","code_information":[{"code":"4040447","type":"CDM"},{"code":"761","type":"RC"},{"code":"36598","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":185,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Control Of Nosebleed Simple Mcr Tech","code_information":[{"code":"710166","type":"CDM"},{"code":"510","type":"RC"},{"code":"30901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":185,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Staarvisc","code_information":[{"code":"3258689","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258689","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":185,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".C Diff Toxin A&b","code_information":[{"code":"4010468","type":"CDM"},{"code":"300","type":"RC"},{"code":"87324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":185,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Charge Cyto/mol Report Cong Chrom Mayo","code_information":[{"code":"4017188","type":"CDM"},{"code":"310","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":185,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":68},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":125},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":68},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Procalcitonin","code_information":[{"code":"4018011","type":"CDM"},{"code":"300","type":"RC"},{"code":"84145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":184,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Vitamin B1 Whole Blood Mayo","code_information":[{"code":"4015688","type":"CDM"},{"code":"300","type":"RC"},{"code":"84425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":184,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Catecholamines Frac Free Urine Mayo","code_information":[{"code":"4010462","type":"CDM"},{"code":"300","type":"RC"},{"code":"82384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":184,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Human Epididymis Protein 4 Mayo","code_information":[{"code":"4017182","type":"CDM"},{"code":"300","type":"RC"},{"code":"86305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":184,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":119},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Nitrous Oxide 0.25 Hr","code_information":[{"code":"4080101","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Trap/double Finger Medium #Lk92-3486","code_information":[{"code":"3259082","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Mesh/prolite Ultra Surgical 4x6 #30715","code_information":[{"code":"3250374","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1781","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Needle/uroplasty Endoscopic #Mrn420","code_information":[{"code":"3251332","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Sars-cov-2 Pcr","code_information":[{"code":"4017793","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Myoglobin Urine  Mayo","code_information":[{"code":"4011056","type":"CDM"},{"code":"300","type":"RC"},{"code":"83874","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Oxalate Urine Mayo","code_information":[{"code":"4010465","type":"CDM"},{"code":"300","type":"RC"},{"code":"83945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":183,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Prednisolone 1% Ophth Susp","code_information":[{"code":"4073517","type":"CDM"},{"code":"250","type":"RC"},{"code":"60758011905","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":67,"maximum":2801,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":118},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":124},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Guide Wire, 292.652","code_information":[{"code":"3259968","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":182,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":123},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw/cortex 3.5 #02.200.032","code_information":[{"code":"3250769","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":182,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":123},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw/cortex 3.5 #02.200.042","code_information":[{"code":"3250768","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":182,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":123},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Vitamin C Plasma    Mayo","code_information":[{"code":"4016886","type":"CDM"},{"code":"300","type":"RC"},{"code":"82180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":182,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":123},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Ana Titer Mayo","code_information":[{"code":"4010243","type":"CDM"},{"code":"300","type":"RC"},{"code":"86039","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":182,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":123},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Alpha 1 Antitrypsin Feces Random Mayo","code_information":[{"code":"4016168","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":182,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":67},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":123},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Commercial","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":67},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Haptoglobin Uvmc","code_information":[{"code":"4011220","type":"CDM"},{"code":"300","type":"RC"},{"code":"83010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Charge Von Willebrand Factor Ag Mayo","code_information":[{"code":"4011806","type":"CDM"},{"code":"300","type":"RC"},{"code":"85246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Uric Acid Body Fluid Mayo","code_information":[{"code":"4017111","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Charge Gfap Ifa","code_information":[{"code":"4017885","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Cold Agglutinins Titer Mayo","code_information":[{"code":"4010181","type":"CDM"},{"code":"300","type":"RC"},{"code":"86157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Ribosome Ab Igg Mayo","code_information":[{"code":"4017645","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Trap/finger Xlrg #A-30522-8","code_information":[{"code":"325422","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP325422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Nitrazine Paper","code_information":[{"code":"4074026","type":"CDM"},{"code":"259","type":"RC"},{"code":"30526","type":"CPT","modifier":"20"}],"standard_charges":[{"setting":"outpatient","modifier_code":["20"],"minimum":66,"maximum":181,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":117},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":122},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Immunization Admin","code_information":[{"code":"700851","type":"CDM"},{"code":"771","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Patient office consultation, 40 min","code_information":[{"code":"710012","type":"CDM"},{"code":"521","type":"RC"},{"code":"99243","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Immunization Admin W/ Consult <19yo","code_information":[{"code":"700486","type":"CDM"},{"code":"771","type":"RC"},{"code":"90460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Copper 24 Hr Urine Mayo","code_information":[{"code":"4011307","type":"CDM"},{"code":"300","type":"RC"},{"code":"82525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Charge Mayo Antimic Susc Mic","code_information":[{"code":"4011149","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Agent Nos Assay W/optic","code_information":[{"code":"4017042","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Clomipramine Anafranil    Mayo","code_information":[{"code":"4016484","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Wrap/pedi Iv Large","code_information":[{"code":"3258391","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258391","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Micafungin 50 Mg Vial","code_information":[{"code":"4077885","type":"CDM"},{"code":"636","type":"RC"},{"code":"46932","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":180,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":116},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":66},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":66},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Confirm Pcp Mayo","code_information":[{"code":"4017643","type":"CDM"},{"code":"300","type":"RC"},{"code":"83992","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Screw/cortex 2.7 #202.872","code_information":[{"code":"3259856","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Screw/cortex 2.7 #202.878","code_information":[{"code":"3259947","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Screw/cortex 2.7 #202.880","code_information":[{"code":"3259948","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".West Nile Virus Ser Csf Igm Ab","code_information":[{"code":"4016394","type":"CDM"},{"code":"300","type":"RC"},{"code":"86788","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Thyroxine Binding Globulin Mayo","code_information":[{"code":"4010659","type":"CDM"},{"code":"300","type":"RC"},{"code":"84442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Blastomyces Antibody Serum Mayo","code_information":[{"code":"4011129","type":"CDM"},{"code":"300","type":"RC"},{"code":"86612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Hiaa 5 Urine Mayo","code_information":[{"code":"4010423","type":"CDM"},{"code":"300","type":"RC"},{"code":"83497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"..Ldh Isoenzymes Mayo","code_information":[{"code":"4010113","type":"CDM"},{"code":"300","type":"RC"},{"code":"83625","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Hood/t7","code_information":[{"code":"3257950","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Premise(point Flowable 4)","code_information":[{"code":"3259242","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259242","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Pneumocystis Smear    Mayo","code_information":[{"code":"4011495-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":65,"maximum":179,"gross_charge":172,"discounted_cash":129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":121},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Igg Uvmc","code_information":[{"code":"4011203","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Iga Uvmc","code_information":[{"code":"4011209","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Flow Cytometry Ea Cell","code_information":[{"code":"4010910","type":"CDM"},{"code":"300","type":"RC"},{"code":"88184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Igm Uvmc","code_information":[{"code":"4010547","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Antibody Screen Gel Rrmc","code_information":[{"code":"4016878","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Lyme Disease Serology Mayo","code_information":[{"code":"4011510","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Testosterone Total Only","code_information":[{"code":"4015092","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Snare/ Rotator 25mm Standard Oval","code_information":[{"code":"3251861","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Bur/round Med Length 4.0mm #Zb-128","code_information":[{"code":"3254363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Vitamin K 10 Mg / Ml Oral Solution","code_information":[{"code":"4078923","type":"CDM"},{"code":"250","type":"RC"},{"code":"40991","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":178,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":115},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":120},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Desflurane .25 Hr","code_information":[{"code":"4080105","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Emergency Room Procedurebasic","code_information":[{"code":"3230493","type":"CDM"},{"code":"450","type":"RC"},{"code":"CP3230493","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Probe Set Count Cytogent Dna Mayo","code_information":[{"code":"4017163","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Dexamethasone Infusion","code_information":[{"code":"4070181","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4070181","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ferumoxytol  Infusion","code_information":[{"code":"4070156","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q0138","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Iron Sucrose Infusion","code_information":[{"code":"4077908","type":"CDM"},{"code":"636","type":"RC"},{"code":"51723","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vasopneumatic Devices (Bf)","code_information":[{"code":"4090246-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97016","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Cytologybronch Brush","code_information":[{"code":"4010352-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88104","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":65,"maximum":177,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":114},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":65},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":65},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Post Del Ventilation","code_information":[{"code":"4080203","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Child Birth Education (Ea 30 Minutes)","code_information":[{"code":"3210300","type":"CDM"},{"code":"942","type":"RC"},{"code":"98962","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Endocervical Curettage Mcare","code_information":[{"code":"710146","type":"CDM"},{"code":"510","type":"RC"},{"code":"57505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Complement C1q Mayo","code_information":[{"code":"4015706","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Wrap/pedi Iv Medium","code_information":[{"code":"3258390","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258390","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Docetaxel 20 Mg Vial","code_information":[{"code":"4077114","type":"CDM"},{"code":"636","type":"RC"},{"code":"95510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Hydrocortisone 250 Mg Vial","code_information":[{"code":"4074302","type":"CDM"},{"code":"636","type":"RC"},{"code":"90013","type":"CPT","modifier":"5"}],"standard_charges":[{"setting":"outpatient","modifier_code":["5"],"minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Nitroglycerin 2% Oint (30gm)","code_information":[{"code":"4077311","type":"CDM"},{"code":"259","type":"RC"},{"code":"28103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":176,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":119},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Adapter/uro-lok Ii","code_information":[{"code":"3256743","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256743","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Rem Nail Bed Mcr Tech","code_information":[{"code":"710321","type":"CDM"},{"code":"510","type":"RC"},{"code":"11750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Feeding Tube Gastrostomy 20fr","code_information":[{"code":"3700588","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Biopsy Of Throat Mcr Tech","code_information":[{"code":"710408","type":"CDM"},{"code":"510","type":"RC"},{"code":"42800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Cult Sero Type Uvmc","code_information":[{"code":"4010164","type":"CDM"},{"code":"300","type":"RC"},{"code":"87147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Screw 1.8 #201.976","code_information":[{"code":"3258049","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Wire/nicore Guide .038 #150nfs38","code_information":[{"code":"3250691","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Cytoplasmic Neutrophil Ab  Uvmc","code_information":[{"code":"4011985","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Toxoplasma Igg Ab Mayo","code_information":[{"code":"4010761","type":"CDM"},{"code":"300","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Blades Disp Chanelled King Vision","code_information":[{"code":"3250757","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250757","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Blades Disp Std King Vision","code_information":[{"code":"3250866","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250866","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Speech/language Treatment I Per 15 Min","code_information":[{"code":"4380020-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92507","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":64,"maximum":175,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":113},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":64},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":118},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":64},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Multiple Family Group","code_information":[{"code":"4700013","type":"CDM"},{"code":"913","type":"RC"},{"code":"90849","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":174,"gross_charge":167,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":112},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Cadmium Whole Blood Mayo","code_information":[{"code":"4016414","type":"CDM"},{"code":"300","type":"RC"},{"code":"82300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":174,"gross_charge":167,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":112},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Rna Poly Iii Ab Igg  Mayo","code_information":[{"code":"4017638","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":174,"gross_charge":167,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":112},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Application Of Long Arm Cast Mcare","code_information":[{"code":"710156","type":"CDM"},{"code":"510","type":"RC"},{"code":"29065","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":173,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Work Hard/condeach Add Hr","code_information":[{"code":"5010101","type":"CDM"},{"code":"430","type":"RC"},{"code":"97546","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":173,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Tube Gastro 3-port 18fr","code_information":[{"code":"3700801","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700801","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":173,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Iron Sucrose 100 Mg / 5 Ml","code_information":[{"code":"4077905","type":"CDM"},{"code":"636","type":"RC"},{"code":"51723","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":173,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Iodixanol Injection 270 Mg/ml (100 Ml)","code_information":[{"code":"4070199","type":"CDM"},{"code":"255","type":"RC"},{"code":"40722","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":173,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}],"drug_information":{"unit":270,"type":"ME"}},{"description":"Waffle Bed Expansion W/pump #1025ecp","code_information":[{"code":"3256722","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256722","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":173,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Atropine Sulfate 1% Ophth Soln","code_information":[{"code":"4071802","type":"CDM"},{"code":"250","type":"RC"},{"code":"60219174903","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":63,"maximum":2801,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":117},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Kii Fios Advfix Thread 12x100 Cff74","code_information":[{"code":"3250787","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":172,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Biopsy Of Lip Mcr Tech","code_information":[{"code":"710410","type":"CDM"},{"code":"510","type":"RC"},{"code":"40490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":172,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Set/contiplex Nerve Block #Cnb400","code_information":[{"code":"3259725","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":172,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Flow Cyto-each Cell Marker*","code_information":[{"code":"4011340-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88182","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":63,"maximum":172,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":111},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":63},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":116},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","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":63},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Pack/extremity","code_information":[{"code":"3210138","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw/cortex 4.5mmx24mm #214.824","code_information":[{"code":"3256475","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw/cortex 4.5mmx58mm #214.058","code_information":[{"code":"3256779","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Injector/#msi-pr","code_information":[{"code":"3259515","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"K Wire","code_information":[{"code":"3252120","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Stratafix Pds Suture Medline","code_information":[{"code":"3700038","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Transferrin Uvmc","code_information":[{"code":"4011150","type":"CDM"},{"code":"300","type":"RC"},{"code":"84466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Vitamin A Mayo","code_information":[{"code":"4010249","type":"CDM"},{"code":"300","type":"RC"},{"code":"84590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Metanephrines,fract Free Plas Mayo","code_information":[{"code":"4011861","type":"CDM"},{"code":"300","type":"RC"},{"code":"83835","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Varicella Zoster Igm Ab Mayo","code_information":[{"code":"4016112","type":"CDM"},{"code":"300","type":"RC"},{"code":"86787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Hep Be Antibody  Mayo","code_information":[{"code":"4011023","type":"CDM"},{"code":"300","type":"RC"},{"code":"86707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Ss-a And Ss-b Ab Igg Mayo","code_information":[{"code":"4020154","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Indirect Titer Arc* Per Ab","code_information":[{"code":"4020153","type":"CDM"},{"code":"300","type":"RC"},{"code":"86886","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Imipramine Desipramine  Mayo","code_information":[{"code":"4017122","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"T4 Free","code_information":[{"code":"4011250","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Drug Abuse Survey W Confirm Urine Mayo","code_information":[{"code":"4017627","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Tray/lumbar Puncture Pedi 4302c","code_information":[{"code":"3252155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Splint/doyle Ii Airway #Sp-79300-05","code_information":[{"code":"3257312","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257312","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":171,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":110},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":115},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw/cortex 3.5x14mm #204.814","code_information":[{"code":"3256305","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw/cortex 3.5x12mm #204.812","code_information":[{"code":"3256404","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw/cortex 3.5x20mm #204.820","code_information":[{"code":"3256339","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"K-wire Dbl Trocar Tip 1.4x150mm","code_information":[{"code":"3701122","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"K-wire Trocar Tip 1.6x150mm","code_information":[{"code":"3701119","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Methylmalonic Acid Serum Mayo","code_information":[{"code":"4012279","type":"CDM"},{"code":"300","type":"RC"},{"code":"83921","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Glyco Protein Antibody","code_information":[{"code":"4011606","type":"CDM"},{"code":"300","type":"RC"},{"code":"86146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Lyme Cns Infection Ab Index Reflex Mayo","code_information":[{"code":"4017223","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Tobramycin  Uvmc","code_information":[{"code":"4011978","type":"CDM"},{"code":"300","type":"RC"},{"code":"80200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":170,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Proparacaine 0.5% Ophth Soln","code_information":[{"code":"4078553","type":"CDM"},{"code":"250","type":"RC"},{"code":"61314001601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":62,"maximum":2801,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Pin/cove Point #7447-3200","code_information":[{"code":"3259043","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Cuff/bladder Disp 42inch","code_information":[{"code":"3251839","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw 2.0x14mm","code_information":[{"code":"3252031","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw 2.0x18mm","code_information":[{"code":"3252032","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Aldolase Serum Mayo","code_information":[{"code":"4012274","type":"CDM"},{"code":"300","type":"RC"},{"code":"82085","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Charge Mayo Cryoglob Immunofix","code_information":[{"code":"4016934","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Charge Testosterone Free","code_information":[{"code":"4010522","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Crossmatch/# Of Units","code_information":[{"code":"4020103","type":"CDM"},{"code":"300","type":"RC"},{"code":"86920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Paclitaxel 300 Mg / 50 Ml","code_information":[{"code":"4078295","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567050601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":62,"maximum":2801,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Screw/malleobar 4.5x70mm #215.070","code_information":[{"code":"3256757","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Tube/ng Weighted Kangaroo","code_information":[{"code":"3259171","type":"CDM"},{"code":"270","type":"RC"},{"code":"B4082","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Work Hardening Additional 1 Hr","code_information":[{"code":"4390316-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97546","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Consult Rept/prep Mayo","code_information":[{"code":"4011780-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88323","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":62,"maximum":168,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":109},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":62},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":114},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Commercial","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":62},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Phenobarbital Uvmc","code_information":[{"code":"4010528","type":"CDM"},{"code":"300","type":"RC"},{"code":"80184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":167,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":108},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Charge Quant M Protein Mayo","code_information":[{"code":"4017992","type":"CDM"},{"code":"300","type":"RC"},{"code":"0077U","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":167,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":108},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Coccidioides Antibody Screen W/refle May","code_information":[{"code":"4011045","type":"CDM"},{"code":"300","type":"RC"},{"code":"86635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":167,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":108},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Bordetella Pertussis Pcr Mayo","code_information":[{"code":"4011651","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":167,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":108},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Hepatitis B Surface Antigen Mayo","code_information":[{"code":"4010911","type":"CDM"},{"code":"300","type":"RC"},{"code":"87340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":167,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":108},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":113},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Pft Dlco","code_information":[{"code":"4170024","type":"CDM"},{"code":"460","type":"RC"},{"code":"94729","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Supplies/hot Biopsy","code_information":[{"code":"3259634","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259634","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Glucose 6 Pdh Mayo","code_information":[{"code":"4011926","type":"CDM"},{"code":"300","type":"RC"},{"code":"82955","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Covid19 Spike Ab Mayo","code_information":[{"code":"4017672","type":"CDM"},{"code":"300","type":"RC"},{"code":"86769","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Lactoferrin Detection Stool   Uvmc","code_information":[{"code":"4016180","type":"CDM"},{"code":"300","type":"RC"},{"code":"83630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"T3 Uptake  Mayo","code_information":[{"code":"4017657","type":"CDM"},{"code":"300","type":"RC"},{"code":"84479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Maldi-tof Id Mayo Charge","code_information":[{"code":"4016961","type":"CDM"},{"code":"300","type":"RC"},{"code":"87076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Plasma Free Hemoglobin Mayo","code_information":[{"code":"4017619","type":"CDM"},{"code":"300","type":"RC"},{"code":"83051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Fetal Hgb Apt Mayo","code_information":[{"code":"4016927","type":"CDM"},{"code":"300","type":"RC"},{"code":"83033","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":166,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":61},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":61},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Splint/denver Small #10-1500-10nks","code_information":[{"code":"3250618","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":165,"gross_charge":159,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cath/hsg Sono 5fr","code_information":[{"code":"3250800","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250800","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":165,"gross_charge":159,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Charge Uvmc Hpv Dna Detect & Genotyping","code_information":[{"code":"4017328","type":"CDM"},{"code":"300","type":"RC"},{"code":"87624","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":165,"gross_charge":159,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Hemosiderin Urine  Mayo","code_information":[{"code":"4011093","type":"CDM"},{"code":"300","type":"RC"},{"code":"83070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":165,"gross_charge":159,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Hydrocodone Conf Ua Mayo","code_information":[{"code":"4017092","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":165,"gross_charge":159,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":107},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":112},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Anesthesia Time .25 Hrs.","code_information":[{"code":"4080260","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Declot Thrombo Agent Impl Vasc Dev","code_information":[{"code":"3290126","type":"CDM"},{"code":"510","type":"RC"},{"code":"36593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Consult Straightfwd Office Mcr Tech","code_information":[{"code":"710011","type":"CDM"},{"code":"510","type":"RC"},{"code":"99242","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cysto-conray Ii 17%/250ml","code_information":[{"code":"32510000","type":"CDM"},{"code":"255","type":"RC"},{"code":"Q9958","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Curette Basket Curved 11 3/4","code_information":[{"code":"3700749","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700749","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Herpes Simplex Pcr Blood Mayo","code_information":[{"code":"4017854","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"T3 Uptake Mayo","code_information":[{"code":"4010214","type":"CDM"},{"code":"300","type":"RC"},{"code":"84479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Parietal Cell Ab   Mayo","code_information":[{"code":"4010590","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Kit/sheath Introducer #Ak09601","code_information":[{"code":"3253563","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253563","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":164,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":106},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":111},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Universal Knee Immobilizer 22","code_information":[{"code":"3700284","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Physical Exam 65 And Up New Pt","code_information":[{"code":"710109","type":"CDM"},{"code":"510","type":"RC"},{"code":"99387","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Colposcopy Of Vulva W/ Bx Mcr Tech","code_information":[{"code":"710405","type":"CDM"},{"code":"510","type":"RC"},{"code":"56821","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Felbamate Mayo","code_information":[{"code":"4016949","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Citrate Excretion Urine","code_information":[{"code":"4016628","type":"CDM"},{"code":"300","type":"RC"},{"code":"82507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Pack/ortho Ix  88439","code_information":[{"code":"3210501","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210501","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Charge Dhmc Additional Ihc","code_information":[{"code":"4016707-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88341","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Charge Dhmc Surgical Ihc","code_information":[{"code":"4016374-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":60,"maximum":163,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":60},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":60},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Crossmatch/ahg","code_information":[{"code":"4020172","type":"CDM"},{"code":"300","type":"RC"},{"code":"86922","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Desflurane 0.25 Hr","code_information":[{"code":"4080107","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Sevoflurane 0.25 Hr","code_information":[{"code":"4080106","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"K-wire Standard 2mm","code_information":[{"code":"3700476","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"K-wire Threaded 1.1mm","code_information":[{"code":"3700426","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700426","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Forceps/babcock 5mm X 33cm","code_information":[{"code":"3701118","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Troponin T Mayo","code_information":[{"code":"4017167","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Us Guidance Needle Placement Facil","code_information":[{"code":"4060220-TC","type":"CDM"},{"code":"402","type":"RC"},{"code":"76942","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":59,"maximum":162,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":105},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":110},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"New patient office or other outpatient visit, 45 min","code_information":[{"code":"700736","type":"CDM"},{"code":"521","type":"RC"},{"code":"99204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":161,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Colposcopy Of The Entire Vagina Mcr Tech","code_information":[{"code":"710179","type":"CDM"},{"code":"510","type":"RC"},{"code":"57420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":161,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Diphtheria Ab Igg Mayo","code_information":[{"code":"4016020","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":161,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Diphtheria Toxoid Igg Ab Mayo","code_information":[{"code":"4017137","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":161,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Fungus Culture Vaginal, Mayo","code_information":[{"code":"4017904","type":"CDM"},{"code":"300","type":"RC"},{"code":"87102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":161,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Allergen Fruit Food Panel","code_information":[{"code":"4017665","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":161,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Protamine Sulfate 250mg/25ml Vial","code_information":[{"code":"4074028","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323022930","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":59,"maximum":2801,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":104},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":109},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Amino Acids 5% + Electros / D20w (1 L)","code_information":[{"code":"4079145","type":"CDM"},{"code":"636","type":"RC"},{"code":"33811","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":160,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Bur/round 4.0mm #Zb-128","code_information":[{"code":"3250160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":160,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Apply Short Leg Cast Mcr Tech","code_information":[{"code":"710160","type":"CDM"},{"code":"510","type":"RC"},{"code":"29405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":160,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Initial new patient preventative medicine evaluation (40-64 years)","code_information":[{"code":"710108","type":"CDM"},{"code":"521","type":"RC"},{"code":"99386","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":160,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Commercial","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":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Ropivacaine 0.2%/100ml Epidural/infusion","code_information":[{"code":"4079107","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323028567","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":59,"maximum":2801,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":59},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":108},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Needle Guide Prostate Bx","code_information":[{"code":"3700837","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"K-wire Sgl End Smith 1.4x100mm","code_information":[{"code":"3701145","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"K-wire Double End Smith 1.1x150mm","code_information":[{"code":"3700522","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"K-wire Bun-yo-matic 2.30mmx19cm","code_information":[{"code":"3701151","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"K-wire Sgl End Smith 1.2x150mm","code_information":[{"code":"3701144","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella L Lt","code_information":[{"code":"3700703","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700703","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella L Rt","code_information":[{"code":"3700698","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700698","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella M Lt","code_information":[{"code":"3700702","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella M Rt","code_information":[{"code":"3700697","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700697","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella S Lt","code_information":[{"code":"3700701","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella S Rt","code_information":[{"code":"3700696","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella Xl Lt","code_information":[{"code":"3700704","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700704","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella Xl Rt","code_information":[{"code":"3700679","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella Xs Lt","code_information":[{"code":"3700700","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700700","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella Xs Rt","code_information":[{"code":"3700695","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella Xxl Lt","code_information":[{"code":"3700705","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700705","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Stabilizer/lateral Patella Xxl Rt","code_information":[{"code":"3700699","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700699","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".C Diff Antigen","code_information":[{"code":"4016215","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".1 Rbc Ag Neg Unitarc","code_information":[{"code":"4016938","type":"CDM"},{"code":"300","type":"RC"},{"code":"86902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Cryptosporidium Stool Antigen Mayo","code_information":[{"code":"4011975","type":"CDM"},{"code":"300","type":"RC"},{"code":"87328","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Tomosynthesis Breast Screening Bilateral","code_information":[{"code":"4040266-TC","type":"CDM"},{"code":"403","type":"RC"},{"code":"77063","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Tomosynthesis Breast Diagnostic Bilatera","code_information":[{"code":"4040265-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77062","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":58,"maximum":159,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":103},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Cath/hematuria 22fr #2551-22","code_information":[{"code":"3257582","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Cath/hematuria 24fr #2551-24","code_information":[{"code":"3257583","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257583","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Bx Vaginal Mucosa; Simple Mcr Tech","code_information":[{"code":"710283","type":"CDM"},{"code":"510","type":"RC"},{"code":"57100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Elbow Or Wrist Strapping","code_information":[{"code":"4390298","type":"CDM"},{"code":"430","type":"RC"},{"code":"29260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Hand Or Finger Strapping","code_information":[{"code":"4390299","type":"CDM"},{"code":"430","type":"RC"},{"code":"29280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Dilantin (Phenytoin)","code_information":[{"code":"4010177","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Phenylalinine Mayo","code_information":[{"code":"4017165","type":"CDM"},{"code":"300","type":"RC"},{"code":"84030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Catecholamines Plasma Mayo","code_information":[{"code":"4015462","type":"CDM"},{"code":"300","type":"RC"},{"code":"82384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Haloperidol Deconate 50 Mg/ml (Im Only)","code_information":[{"code":"4074282","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323046901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":58,"maximum":2801,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Plate/sm St 5-h 41mm #2455-041-05","code_information":[{"code":"3251027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":158,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":102},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":58},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":107},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":58},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Amino Acids 4.25% + Electros / D10w (1l)","code_information":[{"code":"4079143","type":"CDM"},{"code":"250","type":"RC"},{"code":"33811","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Tiotropium Inhaler","code_information":[{"code":"4077779","type":"CDM"},{"code":"250","type":"RC"},{"code":"59700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"1.4 Guide Wire","code_information":[{"code":"3700178","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".West Nile Virus Ser Csf Igg Ab","code_information":[{"code":"4016395","type":"CDM"},{"code":"300","type":"RC"},{"code":"86789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Traction, Mechanical (Bf)","code_information":[{"code":"4090254-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97012","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Work Hardening (Additional 1 Hr)(bf)","code_information":[{"code":"4090241-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97546","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Traction Mechanical Mv","code_information":[{"code":"4090605-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97012","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":57,"maximum":157,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":106},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Endocerv Curettage W/scope Mcr Tech","code_information":[{"code":"710182","type":"CDM"},{"code":"510","type":"RC"},{"code":"57456","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":156,"gross_charge":150,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Pessary Ring Size 5","code_information":[{"code":"3700626","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700626","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":156,"gross_charge":150,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Pessary Ring Size 6","code_information":[{"code":"3700625","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700625","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":156,"gross_charge":150,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Transurethral Injection System #652200","code_information":[{"code":"3259007","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":156,"gross_charge":150,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Charge Mprot Maldi Mayo","code_information":[{"code":"4017936","type":"CDM"},{"code":"300","type":"RC"},{"code":"0077U","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":156,"gross_charge":150,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":101},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Lugols Oral Solution 5%","code_information":[{"code":"4070139","type":"CDM"},{"code":"250","type":"RC"},{"code":"48433023015","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":57,"maximum":2801,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Washer #219.99","code_information":[{"code":"3255224","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Screw/cortical 10mm","code_information":[{"code":"3251164","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Screw/cortical 24mm #7182-1324","code_information":[{"code":"3251179","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Cubital Tunnel Rigid Eo Wo Joints","code_information":[{"code":"1700248","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3762","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Hysterosalpingography Mcr Tech","code_information":[{"code":"710360","type":"CDM"},{"code":"510","type":"RC"},{"code":"74740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Lactate/lactic Acid","code_information":[{"code":"4016058","type":"CDM"},{"code":"300","type":"RC"},{"code":"83605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Culture & Smear Fungus Uvmc","code_information":[{"code":"4012289","type":"CDM"},{"code":"300","type":"RC"},{"code":"87102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Desmoglein 1&3 Igg Serum Mayo","code_information":[{"code":"4018057","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Ach Receptor Binding Ab","code_information":[{"code":"4017210","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Achr Ganglionic Neuronal Ab","code_information":[{"code":"4017211","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".N Type Calcium Channel Ab Mayo","code_information":[{"code":"4017209","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Neuronal V-g K+ Channel Ab","code_information":[{"code":"4017205","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Pq Type Calcium Channel Ab Mayo","code_information":[{"code":"4017208","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Agent Nos Assay W/optic","code_information":[{"code":"4011576","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":155,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":100},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":57},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":105},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Commercial","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":57},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Screw/cortical 14mm","code_information":[{"code":"3251168","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw/cortical 12mm","code_information":[{"code":"3251167","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Guide Wire Threaded 1.25x150mm 900.722","code_information":[{"code":"3251068","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Glycohemoglobin A1c","code_information":[{"code":"4010571","type":"CDM"},{"code":"300","type":"RC"},{"code":"83036","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Estradiol    Uvmc","code_information":[{"code":"4015086","type":"CDM"},{"code":"300","type":"RC"},{"code":"82670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Charge Uvmc Tissue Stain I Microorg","code_information":[{"code":"4010408","type":"CDM"},{"code":"310","type":"RC"},{"code":"88312","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"..Dilantin (Phenytoin) Uvm","code_information":[{"code":"4017706","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Drug Screen 11 Uvmc","code_information":[{"code":"4017178","type":"CDM"},{"code":"300","type":"RC"},{"code":"80306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Grp B Strep For Pen Allergic Pcr Uvmc","code_information":[{"code":"4016378","type":"CDM"},{"code":"300","type":"RC"},{"code":"87653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Grp B Strep Vag Rectal Pcr Uvmc","code_information":[{"code":"4010160","type":"CDM"},{"code":"300","type":"RC"},{"code":"87653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Culture Afb (Vt State Lab)","code_information":[{"code":"4010104","type":"CDM"},{"code":"300","type":"RC"},{"code":"87116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Phencyclidine Screen Urine Uvm","code_information":[{"code":"4017179","type":"CDM"},{"code":"300","type":"RC"},{"code":"80306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Rast Aspergillus Flavus Ige   Mayo","code_information":[{"code":"4017841","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Trycyclic Antidepress Scr Uvm","code_information":[{"code":"4017180","type":"CDM"},{"code":"300","type":"RC"},{"code":"80306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Afb Culture Blood Uvmc","code_information":[{"code":"4011816","type":"CDM"},{"code":"300","type":"RC"},{"code":"87116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Tzanck Smear Or Breast Smear","code_information":[{"code":"4010358-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88161","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":56,"maximum":154,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":104},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Cath Hematuria 20fr  2551h","code_information":[{"code":"3256296","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw/canc 6.5 55mm Bore #217.055","code_information":[{"code":"3256530","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw 3.5mmx12mm #404.812","code_information":[{"code":"3250993","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw/canc 6.5 60mm Bone","code_information":[{"code":"3256445","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw/canc 6.5 65mm Bone","code_information":[{"code":"3256778","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Manipulator Uter Dumi 350mm","code_information":[{"code":"3700977","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Charge Lyme Disease Serology Mayo","code_information":[{"code":"4017802","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Reverse T3 Mayo","code_information":[{"code":"4016383","type":"CDM"},{"code":"300","type":"RC"},{"code":"84482","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Cannula/nasal Neotech Ram Newborn","code_information":[{"code":"3251740","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251740","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Arterial Line Kit","code_information":[{"code":"3255725","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Trap/double Finger Xlrg #Lk92-3484","code_information":[{"code":"3259084","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":153,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Bupivacaine 0.0625% & Fentanyl 2mcg/ml","code_information":[{"code":"4077410","type":"CDM"},{"code":"258","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":56,"maximum":2801,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":99},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":103},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Chlorothiazide 500 Mg Vial","code_information":[{"code":"4073954","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021030520","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":2801,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Cath/2 Way 14fr 5cc","code_information":[{"code":"3700753","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700753","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Charge Rrmc Reference Fungus Id","code_information":[{"code":"4017287","type":"CDM"},{"code":"300","type":"RC"},{"code":"87107","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Blade Oscillator","code_information":[{"code":"3257329","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Needle/kopans Modified #Dkbl-20-7.0-a","code_information":[{"code":"3259829","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Needle/kopans Modified #Dkbl-20-9.0-a","code_information":[{"code":"3259827","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Prohance 279.3 Mg/ml (20 Ml)","code_information":[{"code":"4070087","type":"CDM"},{"code":"255","type":"RC"},{"code":"27011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}],"drug_information":{"unit":2793,"type":"ME"}},{"description":"Needle/kopans Modified #Dkbl-20-5.0-a","code_information":[{"code":"3259828","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":152,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":98},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Screw/cortex 3.5 #02.200.020","code_information":[{"code":"3250075","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Screw/cortex 3.5 #02.200.014","code_information":[{"code":"3259961","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Screw/cortex 3.5 12mm","code_information":[{"code":"3251951","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cath/femcare Suprapubic 16fr #Cat060","code_information":[{"code":"3258893","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258893","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Excisor/biopsy Fisher Core #900-156","code_information":[{"code":"3259658","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259658","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Via-guard Suction Tip #Smp-001","code_information":[{"code":"3255492","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Insert Drug Deliv Implant Mcr Tech","code_information":[{"code":"711048","type":"CDM"},{"code":"510","type":"RC"},{"code":"11981","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Acth Plasma  Mayo","code_information":[{"code":"4011536","type":"CDM"},{"code":"300","type":"RC"},{"code":"82024","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Parathyroid Related Peptide Mayo","code_information":[{"code":"4011979","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dressing/optifoam Gent Ag  Post-op 4x12","code_information":[{"code":"3251331","type":"CDM"},{"code":"623","type":"RC"},{"code":"A6213","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":151,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":102},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Exc B9 Lsn Trnk/arm/leg 1.1-2cm Mcr Tech","code_information":[{"code":"710039","type":"CDM"},{"code":"510","type":"RC"},{"code":"11402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":150,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Audiometry Air & Bone Tech","code_information":[{"code":"710675","type":"CDM"},{"code":"471","type":"RC"},{"code":"92553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":150,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Comprehensive Hearing Test Tech","code_information":[{"code":"710206","type":"CDM"},{"code":"471","type":"RC"},{"code":"92557","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":150,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Visual Reinforcement Audiometry","code_information":[{"code":"710260","type":"CDM"},{"code":"471","type":"RC"},{"code":"92579","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":150,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":97},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":55},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":101},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":55},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Omnipaque 300 Mg/ml (10 Ml) Sdv","code_information":[{"code":"4070206","type":"CDM"},{"code":"255","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":149,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":96},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":".Striated Muscle Ab","code_information":[{"code":"4016530","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":149,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":96},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Isovue 370/150ml #131637","code_information":[{"code":"3250917","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":149,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":96},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Amino Acids 2.75% + Electros / D5w (1l)","code_information":[{"code":"4070059","type":"CDM"},{"code":"636","type":"RC"},{"code":"33811","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":149,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":96},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Screw/bone 36mm #12-7036","code_information":[{"code":"3253386","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Night Splint Ankle","code_information":[{"code":"1700091","type":"CDM"},{"code":"290","type":"RC"},{"code":"L4396","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Nasal Cannula For Airvolarge","code_information":[{"code":"3700043","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Packing/nasal Flex-pak #460406","code_information":[{"code":"3255891","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255891","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Blood test, lipids","code_information":[{"code":"4011994","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Rsv Direct Antigen Screen","code_information":[{"code":"4011308","type":"CDM"},{"code":"300","type":"RC"},{"code":"87807","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Methadone Confirm Urine Mayo","code_information":[{"code":"4016144","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Sperm Check Post Vas","code_information":[{"code":"4010220","type":"CDM"},{"code":"300","type":"RC"},{"code":"89321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Anaplasma  Phagosytophilum Ab Igg Mayo","code_information":[{"code":"4017832","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Vitamin B2 Riboflavin Mayo","code_information":[{"code":"4010852","type":"CDM"},{"code":"300","type":"RC"},{"code":"84252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"N-methylhistamine 24 Hr Urnie Mayo","code_information":[{"code":"4017930","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"First Trimester Maternal Screen Mayo","code_information":[{"code":"4017820","type":"CDM"},{"code":"300","type":"RC"},{"code":"81508","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Beta Hydroxybutyrate","code_information":[{"code":"4016473","type":"CDM"},{"code":"300","type":"RC"},{"code":"82010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":148,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":100},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Screw 3.5mmx20mm #404.820","code_information":[{"code":"3257619","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Screw 3.5mmx22mm #404.822","code_information":[{"code":"3257620","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Universal Knee Immobilizer 18","code_information":[{"code":"3700282","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Shoe/orthowedge Healing Small","code_information":[{"code":"3700755","type":"CDM"},{"code":"270","type":"RC"},{"code":"A9283","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Charge Thrombo Interp Mayo","code_information":[{"code":"4016352","type":"CDM"},{"code":"300","type":"RC"},{"code":"85390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Charge Mayo Bact Cult Anaer & Susc","code_information":[{"code":"4016695","type":"CDM"},{"code":"300","type":"RC"},{"code":"87075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".T3 Uptake Mayo","code_information":[{"code":"4015159","type":"CDM"},{"code":"300","type":"RC"},{"code":"84479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Amylase Random Ua & Creat Mayo","code_information":[{"code":"4016881","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Splint/denver Petite #10-1500-10nk","code_information":[{"code":"3257936","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":147,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":95},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":54},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":99},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Commercial","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":54},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Application Of Forearm Cast Mcr Tech","code_information":[{"code":"710157","type":"CDM"},{"code":"510","type":"RC"},{"code":"29075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Guide Wire Non Thr 1.25x150mm #900.721","code_information":[{"code":"3251358","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Inj Sngl/mult Trigger Pnt 3/> Pf","code_information":[{"code":"3269877","type":"CDM"},{"code":"450","type":"RC"},{"code":"20553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Carb Total Mayo","code_information":[{"code":"4016816","type":"CDM"},{"code":"300","type":"RC"},{"code":"80156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Free T4 Thyroxine By Dialysis Mayo","code_information":[{"code":"4016225","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Charge Rrmc Gbs Illumigene","code_information":[{"code":"4017277","type":"CDM"},{"code":"300","type":"RC"},{"code":"87653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Amiodarone Mayo","code_information":[{"code":"4016471","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Targeted Opioid Scr Mayo","code_information":[{"code":"4016449","type":"CDM"},{"code":"300","type":"RC"},{"code":"80364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"4390414-GO","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Manual Therapy Technique Per 15 Min -Ot","code_information":[{"code":"4090106-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97140","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"4090606-GP","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Manual Therapy Tech Per 15 Min Mv","code_information":[{"code":"4090609-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97140","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Manual Therapy Tech. Per 15 Min (Bf)","code_information":[{"code":"4090205-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97140","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"4091021-GP","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"4090269-GP","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Pta Manual Therapy Tech Per 15 Min","code_information":[{"code":"4091024-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97140","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Manual Therapy Tech Per 15 Min","code_information":[{"code":"4090109-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97140","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"4090200-GP","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":53,"maximum":146,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":94},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Complex Uroflowmetry Tech","code_information":[{"code":"710143","type":"CDM"},{"code":"510","type":"RC"},{"code":"51741","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Troponin I Tnih","code_information":[{"code":"4017812","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Charge Activated Protein Resist Mayo","code_information":[{"code":"4012287","type":"CDM"},{"code":"300","type":"RC"},{"code":"85307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Charge Protein S Ag Mayo","code_information":[{"code":"4015096","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Proteinase 3 Ab Igg Mayo","code_information":[{"code":"4016536","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Culture Fungus Blood Mayo","code_information":[{"code":"4017908","type":"CDM"},{"code":"300","type":"RC"},{"code":"87103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Rapid Hiv-1, Needlestick","code_information":[{"code":"4011945","type":"CDM"},{"code":"300","type":"RC"},{"code":"86701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Surgifoam 8x6","code_information":[{"code":"3250695","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Mask/performatrak Sm #73-1018592","code_information":[{"code":"3258681","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258681","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Amino Acids 8% + Electros/ D10w 1000 Ml","code_information":[{"code":"4070200","type":"CDM"},{"code":"250","type":"RC"},{"code":"33802","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Pack/transverse Lap","code_information":[{"code":"3210502","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210502","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"..Troponin I","code_information":[{"code":"4011716-91","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT","modifier":"91"}],"standard_charges":[{"setting":"outpatient","modifier_code":["91"],"minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Community/work Intergration Train 15m-ot","code_information":[{"code":"4390405-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Charge Dhmc Morphometric Analysis Tumor","code_information":[{"code":"4016375-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88360","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Methylprednisolone 500 Mg Vial","code_information":[{"code":"4073198","type":"CDM"},{"code":"636","type":"RC"},{"code":"90758","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":53,"maximum":145,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":53},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":98},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":53},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Folic Acid 5 Mg / Ml Vial","code_information":[{"code":"4078102","type":"CDM"},{"code":"636","type":"RC"},{"code":"39822110001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":52,"maximum":2801,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Oseltamivir 6 Mg / Ml Susp (60 Ml)","code_information":[{"code":"4078367","type":"CDM"},{"code":"250","type":"RC"},{"code":"27241013909","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":52,"maximum":2801,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Lidocaine Topical Ointment 5% (Or Only)","code_information":[{"code":"4070224","type":"CDM"},{"code":"250","type":"RC"},{"code":"64380078923","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":52,"maximum":2801,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Screw/cortex 4.5mmx34mm","code_information":[{"code":"3256481","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":144,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Screw/cortex 4.5mmx46mm #214.046","code_information":[{"code":"3256467","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":144,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Cortex Screw 4.5x18mm 214.818","code_information":[{"code":"3700027","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":144,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Charge Alk Phos Isoenzymes Mayo","code_information":[{"code":"4016404","type":"CDM"},{"code":"300","type":"RC"},{"code":"84080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":144,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Wrap/pedi Iv Small","code_information":[{"code":"3258389","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258389","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":144,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":93},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":97},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Cefepime 2 Gm / 50 Ml [Premix]","code_information":[{"code":"4070257","type":"CDM"},{"code":"250","type":"RC"},{"code":"26431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Group psychotherapy","code_information":[{"code":"4700014","type":"CDM"},{"code":"900","type":"RC"},{"code":"90853","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Bladder Scan","code_information":[{"code":"3230400","type":"CDM"},{"code":"920","type":"RC"},{"code":"51798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Debridement Skin Partial Thick Mcr Tech","code_information":[{"code":"710147","type":"CDM"},{"code":"510","type":"RC"},{"code":"97597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Orthosis/modabbar Thumb","code_information":[{"code":"3700880","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Tubing Set Endomat #031247-01","code_information":[{"code":"3700030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Culture Tissue Uvmc","code_information":[{"code":"4016110","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Electrode/blade Edge Coated","code_information":[{"code":"3250867","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250867","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Pramoxine Lotion","code_information":[{"code":"4079083","type":"CDM"},{"code":"250","type":"RC"},{"code":"49607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":142,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":92},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":96},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Evoked Audio Exam Comp Tech","code_information":[{"code":"710600","type":"CDM"},{"code":"510","type":"RC"},{"code":"92588","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Electrode/radius Loop #R2008","code_information":[{"code":"3254546","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254546","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Exc B9 Lsn Hd/nk/hnd/ft 0.5cm/< Mcr Tech","code_information":[{"code":"710332","type":"CDM"},{"code":"510","type":"RC"},{"code":"11420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Ammonia Level","code_information":[{"code":"4016472","type":"CDM"},{"code":"300","type":"RC"},{"code":"82140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Charge Coag Factor Viii Assay Mayo","code_information":[{"code":"4016444","type":"CDM"},{"code":"300","type":"RC"},{"code":"85240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Covid19 Charge Dhmc (Employee Only)","code_information":[{"code":"4017723","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Covid19 Vdhl Order/charge","code_information":[{"code":"4017677","type":"CDM"},{"code":"300","type":"RC"},{"code":"87635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Testosterone Bioavailable","code_information":[{"code":"4010654","type":"CDM"},{"code":"300","type":"RC"},{"code":"84410","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":141,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":91},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":52},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Commercial","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":52},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Knee Pads (For Positioning Triangle St)","code_information":[{"code":"3250446","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250446","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Nasal Cannula For Airvosmall","code_information":[{"code":"3700041","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"App Npwt 50 Sq Cm Or Less Mcr Tech","code_information":[{"code":"710354","type":"CDM"},{"code":"510","type":"RC"},{"code":"97605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Destruct Facet Jnt Nrv,cerv/thor Addl","code_information":[{"code":"4080328","type":"CDM"},{"code":"370","type":"RC"},{"code":"64634","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Hiv 1 Ab  Mayo","code_information":[{"code":"4017153","type":"CDM"},{"code":"300","type":"RC"},{"code":"86701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Nasal Cannula For Airvomedium","code_information":[{"code":"3700042","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4615","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Knife/implant Angld 5x6mm #8065-9656-61","code_information":[{"code":"3254911","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Rem Impacted Ear Wax Mcr Tech Bilateral","code_information":[{"code":"710383-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"69210","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":51,"maximum":140,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":95},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Unlisted Psychiatric Service Or Procedur","code_information":[{"code":"4700020","type":"CDM"},{"code":"912","type":"RC"},{"code":"90899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Electrode/loop Radius #R1010","code_information":[{"code":"3255003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Cuff/bladder Disp 34inch","code_information":[{"code":"3251838","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Suture/fiber Wire #Ar-7200","code_information":[{"code":"3259848","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Large Radius Loop Electrode 2.0","code_information":[{"code":"3700121","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Blade Reciprocating","code_information":[{"code":"3258711","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Charge Rrmc Penicillin Bind Prot 2","code_information":[{"code":"4017275","type":"CDM"},{"code":"300","type":"RC"},{"code":"87147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Charge Mayo Trycy Cycli  6 Or More","code_information":[{"code":"4016920","type":"CDM"},{"code":"300","type":"RC"},{"code":"80337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Lyme Dis Dna  Amp Probe Chg Mayo","code_information":[{"code":"4017171","type":"CDM"},{"code":"300","type":"RC"},{"code":"87476","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Amphyiphysin Ab","code_information":[{"code":"4017206","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Anti Glial Nuclear Ab Type 1","code_information":[{"code":"4017201","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Anti Neuronal Nuclear Ab Type 1","code_information":[{"code":"4017198","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Anti Neuronal Nuclear Ab Type 2","code_information":[{"code":"4017199","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Anti Neuronal Nuclear Ab Type 3","code_information":[{"code":"4017200","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Crmp 5- Igg","code_information":[{"code":"4017207","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Purkinje Cell Cytoplas Ab Type 1","code_information":[{"code":"4017204","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Purkinje Cell Cytoplas Ab Type 2","code_information":[{"code":"4017203","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Purkinje Cell Cytoplas Ab Type Tr","code_information":[{"code":"4017202","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Electrode/radius Loop #2015","code_information":[{"code":"3254544","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254544","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Electrode/radius Loop (R2010)","code_information":[{"code":"3254547","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Washer/#219.98","code_information":[{"code":"3256622","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":139,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":90},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":94},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Measure Post Void Residual Mcr","code_information":[{"code":"710033","type":"CDM"},{"code":"510","type":"RC"},{"code":"51798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Electrode Leep 1.5x1.5 Cm Shaft 12 Cm","code_information":[{"code":"32510011","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Electrode Leep 1.0x0.7 Cm Shaft 12 Cm","code_information":[{"code":"32510010","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Electrode Leep 1.5x0.5 Cm Shaft 12 Cm","code_information":[{"code":"32510012","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Drill Bit/twist 3.2dx127mm","code_information":[{"code":"3700960","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".D Dimer Rrmc","code_information":[{"code":"4017317","type":"CDM"},{"code":"300","type":"RC"},{"code":"85379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Charge Dhmc Hpv Insitu Hybrid Probe","code_information":[{"code":"4017030","type":"CDM"},{"code":"300","type":"RC"},{"code":"88365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Fluocinonide 0.05% Oint (30 Gm)","code_information":[{"code":"4079997","type":"CDM"},{"code":"250","type":"RC"},{"code":"69238153403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":51,"maximum":2801,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Resuscitator/adult W/mask #133257","code_information":[{"code":"3254054","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Resuscitator/manual Pedi","code_information":[{"code":"3257243","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Isovue 300/150ml #131550","code_information":[{"code":"3256639","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":138,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":89},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":51},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Commercial","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":51},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw/cortex 3.5mmx50mm #204.850","code_information":[{"code":"3256998","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Cuff/bladder Disp 24inch","code_information":[{"code":"3251837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Screw/cortex 3.5x24m #204.824","code_information":[{"code":"3256357","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Mcnealy-glassman Viscera Retainer #3204","code_information":[{"code":"3250777","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250777","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Retractor/wound 9-14 Cm","code_information":[{"code":"3250812","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250812","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Alcohol Serum","code_information":[{"code":"4010914","type":"CDM"},{"code":"300","type":"RC"},{"code":"82077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Legionella Antigen Urine Uvmc","code_information":[{"code":"4011476","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Bean Green / String Igg Mayo","code_information":[{"code":"4017868","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Broccoli Igg Mayo","code_information":[{"code":"4017864","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Carrot Igg Mayo","code_information":[{"code":"4017866","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Coconut Igg Mayo","code_information":[{"code":"4017869","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Egg Yolk Igg Mayo","code_information":[{"code":"4017863","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Olive Igg Mayo","code_information":[{"code":"4017865","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Onion Igg Mayo","code_information":[{"code":"4017862","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Rast Pepper Bell / Paprika Igg Mayo","code_information":[{"code":"4017867","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Dermaflex Skin Adhesive","code_information":[{"code":"3257236","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Binder Abd Xxxxl 75-90","code_information":[{"code":"3259257","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4467","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Isovue 370/100ml #131635","code_information":[{"code":"3250231","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":137,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":93},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Neosporin Ophth Soln","code_information":[{"code":"4671829","type":"CDM"},{"code":"259","type":"RC"},{"code":"61314064175","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":50,"maximum":2801,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":92},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Leep Tubing  #906084","code_information":[{"code":"3255001","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":136,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":92},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Neuromusc Re-ed Per 15 Minutes Mv","code_information":[{"code":"4090607-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97112","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":50,"maximum":136,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":92},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Pta Neuromusc Re-ed Per 15 Minutes","code_information":[{"code":"4091022-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97112","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":50,"maximum":136,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":92},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Neuromusc Re-ed Per 15 Minutes","code_information":[{"code":"4090256-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97112","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":50,"maximum":136,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":88},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":50},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":92},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":50},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Trocar/versaport Bladeless #Nb8stf","code_information":[{"code":"3250813","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250813","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Cast/full Arm-plast","code_information":[{"code":"3250255","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Aquilex Fluid Control Outflow Tubing","code_information":[{"code":"3700080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Non Gyn Fna Cytology Uvmc","code_information":[{"code":"4017913","type":"CDM"},{"code":"300","type":"RC"},{"code":"88112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Iga Screen W Interp","code_information":[{"code":"4016151","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Carbon Monoxide (Carboxyhemoglobin)","code_information":[{"code":"4011016","type":"CDM"},{"code":"300","type":"RC"},{"code":"82375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Hep Be Antigen  Mayo","code_information":[{"code":"4016381","type":"CDM"},{"code":"300","type":"RC"},{"code":"87350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Ldl Particle Number","code_information":[{"code":"4016553","type":"CDM"},{"code":"300","type":"RC"},{"code":"83704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Dressg Tender Wet 1.6","code_information":[{"code":"3252074","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Tray/hysterogram (Supply Charge)","code_information":[{"code":"3250367","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250367","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":135,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":87},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"K-wire .045x6  Sterile #47-0186-60","code_information":[{"code":"3257344","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257344","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Fiberwire 3.0 #Ar7227-01","code_information":[{"code":"3259762","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259762","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Trocar Bladeless 11mm","code_information":[{"code":"3250752","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250752","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Fiberwire 4.0 #Ar-7248","code_information":[{"code":"3251080","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Cast Sup Long Leg Ad Fib","code_information":[{"code":"1700078","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4030","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Needle/catheter 5fr 7cm  #G09489","code_information":[{"code":"3250461","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250461","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Ldldirect","code_information":[{"code":"4011993","type":"CDM"},{"code":"300","type":"RC"},{"code":"83721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Cryptococcus Antigen Csf Uvmc","code_information":[{"code":"4010460","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Dressing/optifoam Gent Ag Post Op 4x10","code_information":[{"code":"3251039","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Interphase , 25-99 Mayo","code_information":[{"code":"4017082-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88274","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":49,"maximum":134,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":91},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Oxymizer #204-p-224","code_information":[{"code":"3250482","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250482","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":133,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Stool Magnesium Random Mayo","code_information":[{"code":"4016605","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":133,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Alpha Subunit Pituitary Tumer Marker","code_information":[{"code":"4017797","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":133,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Mask/performatrak Lrg #73-1012572","code_information":[{"code":"3258679","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":133,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Kit/pedi Jugular #Ak-04150-e-s","code_information":[{"code":"3251812","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1751","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":133,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Commercial","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":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Miscellaneous Medication","code_information":[{"code":"4079191","type":"CDM"},{"code":"636","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":49,"maximum":2801,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Misc Pharmacy Items","code_information":[{"code":"4070101","type":"CDM"},{"code":"259","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":49,"maximum":2801,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":86},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":49},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":90},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Followers/heyman 22fr #021122","code_information":[{"code":"3251827","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Screw/cancellous 4.0x50mm #207.050","code_information":[{"code":"3256621","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Followers/heyman 12fr #021112","code_information":[{"code":"3251826","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Supplies/polyp Removal W/snare","code_information":[{"code":"3259605","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259605","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Physical Exam 65 And Up Est Pt","code_information":[{"code":"710116","type":"CDM"},{"code":"510","type":"RC"},{"code":"99397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cath/word Bartholin Gland 10fr #564000","code_information":[{"code":"3251536","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251536","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".T4*","code_information":[{"code":"4010215","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Amitriptyline","code_information":[{"code":"4012284","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Nortriptyline","code_information":[{"code":"4010699","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Bone Alkaline Phos Mayo","code_information":[{"code":"4016075","type":"CDM"},{"code":"300","type":"RC"},{"code":"84080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Carotene  Mayo","code_information":[{"code":"4010268","type":"CDM"},{"code":"300","type":"RC"},{"code":"82380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Oxymizer-pendant (Chad) #204-p-224ea","code_information":[{"code":"3258506","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":132,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Paclitaxel 100 Mg / 17 Ml","code_information":[{"code":"4076185","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323076317","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":48,"maximum":2801,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":85},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":89},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ethrane 0.25 Hr","code_information":[{"code":"4080104","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"11mm Cannula (Sleeve) #C0r71","code_information":[{"code":"3259930","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Wire/reduction 1.25 #02.111.500.10","code_information":[{"code":"3251035","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Fit/insrt Pessary/oth Support Dev Mcare","code_information":[{"code":"710065","type":"CDM"},{"code":"510","type":"RC"},{"code":"57160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Morphine  Infusion","code_information":[{"code":"4078930","type":"CDM"},{"code":"636","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Charge Shl Hcg Serum Qual","code_information":[{"code":"4017946","type":"CDM"},{"code":"300","type":"RC"},{"code":"84703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Hcg Qual Serum","code_information":[{"code":"4010250","type":"CDM"},{"code":"300","type":"RC"},{"code":"84703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Dhea Mayo","code_information":[{"code":"4010541","type":"CDM"},{"code":"300","type":"RC"},{"code":"82626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Alpha 1 Antitrypsin Mayo","code_information":[{"code":"4016492","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Estrone Mayo","code_information":[{"code":"4010389","type":"CDM"},{"code":"300","type":"RC"},{"code":"82679","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Myoglobin Serum  Mayo","code_information":[{"code":"4017239","type":"CDM"},{"code":"300","type":"RC"},{"code":"83874","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Charge Protein C Act Mayo","code_information":[{"code":"4016849","type":"CDM"},{"code":"300","type":"RC"},{"code":"85303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Ref Cold Agglutinin Titer","code_information":[{"code":"4016413","type":"CDM"},{"code":"300","type":"RC"},{"code":"86157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Ref Immunofixation Urine Uvmc","code_information":[{"code":"4016295","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Rh Phenotype-arc Iii*","code_information":[{"code":"4020168","type":"CDM"},{"code":"300","type":"RC"},{"code":"86906","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Volatile Screen  Uvmc","code_information":[{"code":"4016024","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cytology-csf","code_information":[{"code":"4010354-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88108","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":48,"maximum":131,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Vancomycin 2000 Mg / 400 Ml [Premix]","code_information":[{"code":"4070044","type":"CDM"},{"code":"636","type":"RC"},{"code":"70594004401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":48,"maximum":2801,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":2000,"type":"ME"}},{"description":"App Long Arm Splint Mcr Tech","code_information":[{"code":"710599","type":"CDM"},{"code":"510","type":"RC"},{"code":"29105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Rapid Plasma Reagin (Rpr) Response Mayo","code_information":[{"code":"4016649","type":"CDM"},{"code":"300","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Kidney function panel test","code_information":[{"code":"4010712","type":"CDM"},{"code":"301","type":"RC"},{"code":"80069","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Tray/spinal W/bupivacaine","code_information":[{"code":"3256805","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Support/hinged Knee Med (Shc)","code_information":[{"code":"3256628","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1810","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cath/umbilical Art 3.5fr","code_information":[{"code":"3253962","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Thallium 201","code_information":[{"code":"4070126","type":"CDM"},{"code":"250","type":"RC"},{"code":"A9505","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":130,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Commercial","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":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cefdinir Suspension 250 Mg/ 5 Ml (100ml)","code_information":[{"code":"4078095","type":"CDM"},{"code":"250","type":"RC"},{"code":"67877054888","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":48,"maximum":2801,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":84},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":48},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":88},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Fat Emulsion 20% (250 Ml)","code_information":[{"code":"4078243","type":"CDM"},{"code":"636","type":"RC"},{"code":"65219053301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":47,"maximum":2801,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Kii Adv/fios W Fixed Thread Cff71","code_information":[{"code":"3250755","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250755","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"K-wire #292.623","code_information":[{"code":"3259860","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Bur/round 1.6mm Zb-122","code_information":[{"code":"3259422","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"I&d Abscess, Simple Mcr Tech","code_information":[{"code":"710019","type":"CDM"},{"code":"510","type":"RC"},{"code":"10060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Supplies/flex No Meds","code_information":[{"code":"3251128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Insert Iud Tech","code_information":[{"code":"711047","type":"CDM"},{"code":"510","type":"RC"},{"code":"58300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Nicotine And Metabolites Urine  Mayo","code_information":[{"code":"4011215","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Lipase Body Fluid Mayo","code_information":[{"code":"4016097","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Hemoglobin A1c Uvm","code_information":[{"code":"4017688","type":"CDM"},{"code":"300","type":"RC"},{"code":"83036","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Phosphorus Urine 24 Hr Mayo","code_information":[{"code":"4015802","type":"CDM"},{"code":"300","type":"RC"},{"code":"84105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Amino Acids 4.25% / D5w (1 L)","code_information":[{"code":"4078242","type":"CDM"},{"code":"250","type":"RC"},{"code":"33811","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":129,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Clotrimazole 1% Topical Solution [10 Ml]","code_information":[{"code":"4077624","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672126003","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":47,"maximum":2801,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":83},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":87},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Followers/heyman 18fr #021118","code_information":[{"code":"3250292","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250292","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Followers/heyman 20fr #021120","code_information":[{"code":"3250293","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250293","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Semen Analysis Exam","code_information":[{"code":"4010332","type":"CDM"},{"code":"300","type":"RC"},{"code":"89310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Screw/cortical 4.5 T #414.046","code_information":[{"code":"3250992","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Electrode/condyloma #S1004","code_information":[{"code":"3254542","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Immobilizer Knee 20","code_information":[{"code":"3700727","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4010269","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4017044","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Clozapine Clozaril Mayo","code_information":[{"code":"4011278","type":"CDM"},{"code":"300","type":"RC"},{"code":"80159","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Renin Mayo","code_information":[{"code":"4011300","type":"CDM"},{"code":"300","type":"RC"},{"code":"84244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Carb Free Mayo","code_information":[{"code":"4017148","type":"CDM"},{"code":"300","type":"RC"},{"code":"80157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Bile Acids Total Mayo","code_information":[{"code":"4016060","type":"CDM"},{"code":"300","type":"RC"},{"code":"82239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Rubeola (Measles) Igm Mayo","code_information":[{"code":"4016686","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Culture Beta Strep","code_information":[{"code":"4010456","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Hiv 1 And 2 Ag Ab Eval Plasma   Mayo","code_information":[{"code":"4016948","type":"CDM"},{"code":"300","type":"RC"},{"code":"87389","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Charge Uvmc Babesia Species Amp Probe","code_information":[{"code":"4017958","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Hep C Ab Screening","code_information":[{"code":"4017003","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0472","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Ultrasound Per 15 Minutes","code_information":[{"code":"4090271-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97035","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Ultrasound Per 15 Minutes Mv","code_information":[{"code":"4090616-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97035","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Pta Ultrasound Per 15 Minutes","code_information":[{"code":"4091027-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97035","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Ultrasound Per 15 Minutes","code_information":[{"code":"4090274-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97035","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":47,"maximum":128,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":47},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Commercial","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":47},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Biopsy","code_information":[{"code":"3280102","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 3.5x26mm #204.826","code_information":[{"code":"3256358","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx42mm #214.842","code_information":[{"code":"3256928","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx36mm #214.836","code_information":[{"code":"3256432","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx52mm #214.852","code_information":[{"code":"3256450","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx60mm #214.060","code_information":[{"code":"3256448","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 3.5x28mm #204.828","code_information":[{"code":"3256446","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx38mm","code_information":[{"code":"3259991","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx40mm #214.840","code_information":[{"code":"3256878","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 4.5mmx44mm #214.844","code_information":[{"code":"3256534","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Rfa Cannula Curved 20gx100mm","code_information":[{"code":"3700358","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700358","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Male External Catheter","code_information":[{"code":"3700389","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6590","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Removal Of Nail Plate Mcr Tech","code_information":[{"code":"710318","type":"CDM"},{"code":"510","type":"RC"},{"code":"11730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Rfa Needle 20gx145mm Curved Sharp","code_information":[{"code":"3700375","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Charge Mayo Rpr Confirm","code_information":[{"code":"4010188","type":"CDM"},{"code":"300","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Lysozyme Ige Mayo","code_information":[{"code":"4016985","type":"CDM"},{"code":"300","type":"RC"},{"code":"86008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Bridge/cardiac Output","code_information":[{"code":"3253374","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253374","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Cath/l.f. Coude 16 #20516c","code_information":[{"code":"3251392","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Tray/peritoneal Lavage #Ak-09000","code_information":[{"code":"3252180","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252180","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":127,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":82},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":86},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 3.5mmx55mm #204.855","code_information":[{"code":"3258799","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 3.5x22mm #204.822","code_information":[{"code":"3256356","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 3.5x32mm #204.832","code_information":[{"code":"3256473","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Screw/cortex 3.5x30mm #204.830","code_information":[{"code":"3258813","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Cath/open Ended 6fr #400116","code_information":[{"code":"3258850","type":"CDM"},{"code":"270","type":"RC"},{"code":"C1758","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Basic metabolic panel","code_information":[{"code":"4011004","type":"CDM"},{"code":"301","type":"RC"},{"code":"80048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Aspir/inj Of Maj Joint/bursa Mcr Tech","code_information":[{"code":"710057","type":"CDM"},{"code":"510","type":"RC"},{"code":"20610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Arterial Blood Gas Resp Charge Only","code_information":[{"code":"4170001","type":"CDM"},{"code":"761","type":"RC"},{"code":"36600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Company Education Per Half Hour","code_information":[{"code":"5010019","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Crystal Exam, Polariz","code_information":[{"code":"4010226","type":"CDM"},{"code":"300","type":"RC"},{"code":"89060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".C Diff Toxin Pcr Rrmc","code_information":[{"code":"4017329","type":"CDM"},{"code":"300","type":"RC"},{"code":"87493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Thyrotropin Receptor Antibody Mayo","code_information":[{"code":"4012238","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Protein E Phoresis Ua","code_information":[{"code":"4016328","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Drug Abuse Screen Urine Mayo","code_information":[{"code":"4016027","type":"CDM"},{"code":"300","type":"RC"},{"code":"80306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Culture & Smear Afb Mayo","code_information":[{"code":"4017905","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4017905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Therapeutic Activities Per 15 Min -Ot","code_information":[{"code":"4390403-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97530","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Therapeutic Activities Per 15 Minutes","code_information":[{"code":"4090310-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97530","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Pta Therapeutic Activities Per 15 Mins","code_information":[{"code":"4091025-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97530","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Therapeutic Activities Per 15 Minutes","code_information":[{"code":"4090459-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97530","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Azithromycin Susp 200 Mg / 5 Ml (15 Ml)","code_information":[{"code":"4077037","type":"CDM"},{"code":"636","type":"RC"},{"code":"42806014932","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":46,"maximum":2801,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Ceftriaxone  2 Gm / 50 Ml [Premix]","code_information":[{"code":"4070346","type":"CDM"},{"code":"636","type":"RC"},{"code":"26431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Drill Bit 3 Fluted 2.7x125mm 315.28","code_information":[{"code":"3275261","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3275261","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":126,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":81},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":85},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Cover/probe Sterile Anes.","code_information":[{"code":"3273756","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3273756","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":125,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Acetylcysteine Oral/inh 20% Vial (30 Ml)","code_information":[{"code":"4071894","type":"CDM"},{"code":"250","type":"RC"},{"code":"40933","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":125,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Electrode/modified 4  Blade #0014am","code_information":[{"code":"3258650","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":125,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":46},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Commercial","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":46},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Blood test, lipids","code_information":[{"code":"4017686","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Fluothane 0.25 Hr","code_information":[{"code":"4080103","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Screw 3.5x18mm #404.818","code_information":[{"code":"3259052","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Curette Suction W/ Syringe","code_information":[{"code":"3700976","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4017687","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Sensor/spo2 Disposable","code_information":[{"code":"3251883","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Tc-99m Pertechnetate","code_information":[{"code":"4070116","type":"CDM"},{"code":"250","type":"RC"},{"code":"A9512","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ultrasound Per 15 Minutes (Bf)","code_information":[{"code":"4090208-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97035","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":45,"maximum":124,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":80},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":84},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Phytonadione (Vitamin K) 10 Mg / Ml Amp","code_information":[{"code":"4073022","type":"CDM"},{"code":"636","type":"RC"},{"code":"40991","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"T-tube/modified #24-0072","code_information":[{"code":"3258657","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Polypectomy","code_information":[{"code":"3280101","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cystourethroscopy Mcr Tech","code_information":[{"code":"710050","type":"CDM"},{"code":"510","type":"RC"},{"code":"52000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Afp Single Marker Maternal Screen Mayo","code_information":[{"code":"4016701","type":"CDM"},{"code":"300","type":"RC"},{"code":"82105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Creatinine Ur Mayo","code_information":[{"code":"4017769","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Charge Abs Cd4 Cd8 Count W Ratio Mayo","code_information":[{"code":"4016270","type":"CDM"},{"code":"300","type":"RC"},{"code":"86360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":123,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":79},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":45},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":83},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Commercial","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":45},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"K-wire .062x6  Sterile #47-186-76","code_information":[{"code":"3258400","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258400","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Protector/std 1 Step Arm","code_information":[{"code":"3251744","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251744","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Asp/inj Ganglion Cyst Any Site Mcr Tech","code_information":[{"code":"710218","type":"CDM"},{"code":"510","type":"RC"},{"code":"20612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Wrap/hinged Knee W/ Popliteal Xxxl","code_information":[{"code":"3700711","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Wrap/hinged Knee W/ Popliteal Xxxxl","code_information":[{"code":"3700712","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700712","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Forcep/hot Biopsy #00515033","code_information":[{"code":"3258958","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Covid Antigen","code_information":[{"code":"4017733","type":"CDM"},{"code":"300","type":"RC"},{"code":"87426","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Copper Serum Mayo","code_information":[{"code":"4011306","type":"CDM"},{"code":"300","type":"RC"},{"code":"82525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Charge Coag Consult Mayo","code_information":[{"code":"4015170","type":"CDM"},{"code":"300","type":"RC"},{"code":"85390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Antibody Elution*arc","code_information":[{"code":"4020136","type":"CDM"},{"code":"300","type":"RC"},{"code":"86860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Kit/maximal Barrier #3884445","code_information":[{"code":"3250407","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":122,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":82},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Screw/canc 4.0mmx22mm #206.022","code_information":[{"code":"3256531","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Removal Of Skin Tags, Up To 15 Mcr Tech","code_information":[{"code":"710034","type":"CDM"},{"code":"510","type":"RC"},{"code":"11200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pure Tone Audiometry Air Tech","code_information":[{"code":"710215","type":"CDM"},{"code":"471","type":"RC"},{"code":"92552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Complete blood cell count (CBC), with differential white blood cells, automated","code_information":[{"code":"4010165","type":"CDM"},{"code":"301","type":"RC"},{"code":"85025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Flow Cyto, Add Cell Suf Mark X1","code_information":[{"code":"4017041","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Isovue 300/100ml #131535","code_information":[{"code":"3256638","type":"CDM"},{"code":"255","type":"RC"},{"code":"27013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Plate/epip Rt 5hole #2458-002-05","code_information":[{"code":"3253556","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3253556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Digit Trap #9906","code_information":[{"code":"3256873","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256873","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Self Care Mgt Train Ea 15 Min-ot","code_information":[{"code":"4390404-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97535","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Self Care Mgt Train Ea 15 Min-pt","code_information":[{"code":"4090275-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97535","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pta Self Care Mgt Train Ea 15 Min-pt","code_information":[{"code":"4090276-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97535","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":44,"maximum":121,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":78},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Electrolytes","code_information":[{"code":"4010133","type":"CDM"},{"code":"300","type":"RC"},{"code":"80051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Aspir/inj Intermed Joint/bursa Mcr Tech","code_information":[{"code":"710196","type":"CDM"},{"code":"510","type":"RC"},{"code":"20605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Work/dot/cdl Exam","code_information":[{"code":"710127","type":"CDM"},{"code":"510","type":"RC"},{"code":"99455","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Calcium Urine 24 Hr Mayo","code_information":[{"code":"4012245","type":"CDM"},{"code":"300","type":"RC"},{"code":"82340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Cult Fluid Sterile Uvmc","code_information":[{"code":"4010168","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Ab Elution Rbc-arc Iii*","code_information":[{"code":"4020167","type":"CDM"},{"code":"390","type":"RC"},{"code":"86860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Isovue 250/100ml #131702","code_information":[{"code":"3256637","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9966","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Pap Auto Manual Diag Dhmc","code_information":[{"code":"4017642-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88175","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":44,"maximum":120,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":77},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":44},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":81},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Commercial","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":44},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"K-wire .035x6  Sterile #47-0186-44","code_information":[{"code":"3257343","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Screw/cortex 3.5 #02.200.016","code_information":[{"code":"3259853","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Electrode/leep Ball 5 Mm","code_information":[{"code":"3700393","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Physical Exam 40-64 Yrs Est Pt Medicare","code_information":[{"code":"710115","type":"CDM"},{"code":"510","type":"RC"},{"code":"99396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Centromere Antibody Igg Serum Mayo","code_information":[{"code":"4011025","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Culture Solid Object Uvmc","code_information":[{"code":"4016463","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Cyto Cell Enhan Ngyn Dhmc","code_information":[{"code":"4016379","type":"CDM"},{"code":"300","type":"RC"},{"code":"88112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":119,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":80},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Vasopressin 20 Units/ml","code_information":[{"code":"4073964","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323030201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":2801,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":20,"type":"UN"}},{"description":".Hw-ekg (No Interp)","code_information":[{"code":"5010002","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Hw-pft (No Interp)","code_information":[{"code":"5010001","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Gastric Lavage","code_information":[{"code":"3280100","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP3280100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Screw/canc 4.0mmx18mm #206.018","code_information":[{"code":"3256397","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Excisor/biopsy Fisher Core #900-152","code_information":[{"code":"3250151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Excisor/biopsy Fisher Core #900-155","code_information":[{"code":"3250152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Mod Sedation Same Md 5+ First 15 Min","code_information":[{"code":"3239868","type":"CDM"},{"code":"370","type":"RC"},{"code":"99152","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Biopsy Vulva/perineum 1st Lesion Mcare","code_information":[{"code":"710100","type":"CDM"},{"code":"510","type":"RC"},{"code":"56605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Electrode 5mm Tungsten Ball","code_information":[{"code":"3700517","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700517","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Kii Fios First Access Trocar","code_information":[{"code":"3700220","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Bowl Mixing Cement","code_information":[{"code":"3259148","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Smith Ab Igg Mayo","code_information":[{"code":"4011329","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Sickle Cell Screen  Uvmc","code_information":[{"code":"4015061","type":"CDM"},{"code":"300","type":"RC"},{"code":"85660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Charge Bacterial Vaginitis Prob Uvmc","code_information":[{"code":"4017984","type":"CDM"},{"code":"300","type":"RC"},{"code":"81513","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Scl 70 Ab Igg  Mayo","code_information":[{"code":"4016231","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"..Gc Genprobe Mayo","code_information":[{"code":"4016986","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Covid19 Nucleocapsid Ab Mayo","code_information":[{"code":"4017875","type":"CDM"},{"code":"300","type":"RC"},{"code":"86769","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Rnp Ab Igg Mayo","code_information":[{"code":"4010523","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Ab Screen, Each Media-arc*","code_information":[{"code":"4020162","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Acth Stim Panel","code_information":[{"code":"4016439","type":"CDM"},{"code":"300","type":"RC"},{"code":"80400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Cath/foley Latex 16fr/30cc #0118l16","code_information":[{"code":"3257503","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Applic Unna Boot Mcr Tech Bilateral","code_information":[{"code":"710384-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"29580","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Charge Uvmc Tiss Ihc First Stain","code_information":[{"code":"4016261-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":43,"maximum":118,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":76},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Screw/canc 4.0mmx16mm #206.016","code_information":[{"code":"3256396","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Screw/canc 4.0mmx24mm #206.024","code_information":[{"code":"3256419","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Cuff/bladder Disp 12inch","code_information":[{"code":"3251835","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251835","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Introducer Supra-foley 12ch","code_information":[{"code":"3251323","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Strap Ankle Distractor","code_information":[{"code":"3700524","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":".Culture Pharyngitis  Uvmc","code_information":[{"code":"4010102","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Medibead Heat Wrap/std Pad #34110","code_information":[{"code":"3259572","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259572","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Splint/conv Zim-trac Xsm","code_information":[{"code":"3255986","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255986","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":116,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":75},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":43},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":79},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Commercial","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":43},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Potassium Chloride 10 Meq / 100 Ml Ivpb","code_information":[{"code":"4076264","type":"CDM"},{"code":"636","type":"RC"},{"code":"33807","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Cast/forearm-wrst Pl","code_information":[{"code":"3250250","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Fiberware 4.0 #Ar7230-01","code_information":[{"code":"3258699","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258699","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Hinged Knee Ko Elastic With Joints","code_information":[{"code":"70144","type":"CDM"},{"code":"290","type":"RC"},{"code":"L1810","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Canalith Repositioning/day Tch Fee Mcare","code_information":[{"code":"711033","type":"CDM"},{"code":"510","type":"RC"},{"code":"95992","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Lithium","code_information":[{"code":"4010110","type":"CDM"},{"code":"300","type":"RC"},{"code":"80178","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Complete blood cell count (CBC), automated","code_information":[{"code":"4010169","type":"CDM"},{"code":"301","type":"RC"},{"code":"85027","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Anti Jo1  Mayo","code_information":[{"code":"4016819","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Chromium Serum  Mayo","code_information":[{"code":"4016513","type":"CDM"},{"code":"300","type":"RC"},{"code":"82495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Charge Mayo Lup Drvvt Mix","code_information":[{"code":"4015468","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Culture Fungus Skin Hair Nail Mayo","code_information":[{"code":"4017902","type":"CDM"},{"code":"300","type":"RC"},{"code":"87101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Packing/wiemert Epistaxis","code_information":[{"code":"3254523","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Cannula/nasal Co2 Adult #M2744a","code_information":[{"code":"3259578","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259578","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Snare/std Foreign Body #00710819","code_information":[{"code":"3258615","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258615","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Pap Auto Manual Screen Dhmc","code_information":[{"code":"4017640-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88175","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Potassium Phosphate 15 Mm / 5 Ml","code_information":[{"code":"4078421","type":"CDM"},{"code":"636","type":"RC"},{"code":"40972","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":115,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Lidocaine 4% Topical Solution (50 Ml)","code_information":[{"code":"4073866","type":"CDM"},{"code":"250","type":"RC"},{"code":"70954051810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":42,"maximum":2801,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":78},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Haloperidol Oral Soln 2 Mg / Ml (120 Ml)","code_information":[{"code":"4077022","type":"CDM"},{"code":"250","type":"RC"},{"code":"12105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Gadoterate Meglumine 0.5 Mmol /Ml(20ml)","code_information":[{"code":"4070006","type":"CDM"},{"code":"255","type":"RC"},{"code":"67684200007","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":42,"maximum":2801,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Pulse Oximetry Continuous","code_information":[{"code":"4170060","type":"CDM"},{"code":"460","type":"RC"},{"code":"94762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Destruction Of Benign Lesions Mcr Tech","code_information":[{"code":"710325","type":"CDM"},{"code":"510","type":"RC"},{"code":"17110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Blades Fiber Optic Mac 4","code_information":[{"code":"3700992","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Charge T Cells Total Count Mayo","code_information":[{"code":"4016269","type":"CDM"},{"code":"300","type":"RC"},{"code":"86359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Charge B Cells Total Count Mayo","code_information":[{"code":"4016056","type":"CDM"},{"code":"300","type":"RC"},{"code":"86355","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Charge Nat Killer Cells Tot Count Mayo","code_information":[{"code":"4016268","type":"CDM"},{"code":"300","type":"RC"},{"code":"86357","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Alcohol Biomarkers Urine   Mayo","code_information":[{"code":"4017110","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Cath/trocar 20frx16","code_information":[{"code":"3253933","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":114,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":74},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":42},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Commercial","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":42},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Vancomycin 1750 Mg / 350 Ml [Premix]","code_information":[{"code":"4070037","type":"CDM"},{"code":"636","type":"RC"},{"code":"70594005801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":41,"maximum":2801,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":1750,"type":"ME"}},{"description":"Polyethylene Glycol + Electrolytes (4 L)","code_information":[{"code":"4073498","type":"CDM"},{"code":"250","type":"RC"},{"code":"10572010001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":41,"maximum":2801,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":4000,"type":"ML"}},{"description":"Screw/bone 32mm #12-7032","code_information":[{"code":"3253615","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Electrode Leep 10x10mm","code_information":[{"code":"3700377","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Immuniz Admn Ea Add Vac Sngl/combo","code_information":[{"code":"700617","type":"CDM"},{"code":"771","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Immuniz Admin W/ Consult <19yo Ea Add","code_information":[{"code":"700487","type":"CDM"},{"code":"771","type":"RC"},{"code":"90461","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Suture/6-0 Chromic Gut","code_information":[{"code":"3700930","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Cd3 Uvmc","code_information":[{"code":"4016401","type":"CDM"},{"code":"300","type":"RC"},{"code":"86359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Ref Anca (Anticytoplasmic) Titer","code_information":[{"code":"4016106","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Alpha 2 Macroglobulin   Mayo","code_information":[{"code":"4017183","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Fetal Cell Screen Uvm","code_information":[{"code":"4020134","type":"CDM"},{"code":"300","type":"RC"},{"code":"85460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Prohance  279.3 Mg/ml (15 Ml)","code_information":[{"code":"4070088","type":"CDM"},{"code":"255","type":"RC"},{"code":"27011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":113,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":73},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":77},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":2793,"type":"ME"}},{"description":"Needle Tapered T-5 W Nitinol Loop","code_information":[{"code":"3700373","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700373","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Metanephrines Fract 24 Hr Mayo","code_information":[{"code":"4011578","type":"CDM"},{"code":"300","type":"RC"},{"code":"83835","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Charge Anti Thrombin 3 Act Mayo","code_information":[{"code":"4016351","type":"CDM"},{"code":"300","type":"RC"},{"code":"85300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Liver Kidney Microsomal Ab Mayo","code_information":[{"code":"4010320","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Chlamydia Trach Miscell Sites Mayo","code_information":[{"code":"4016928","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Phytonadione 1 Mg / 0.5 Ml Inj","code_information":[{"code":"4073359","type":"CDM"},{"code":"636","type":"RC"},{"code":"76329124001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":41,"maximum":2801,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Needle/biopsy Bard Magnum #Mn1820","code_information":[{"code":"3251384","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Tray/sterostatic Biopsy","code_information":[{"code":"3259434","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259434","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Electrode/leep 2.5 X 1.0","code_information":[{"code":"3253928","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":112,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":76},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Influenza Vaccine 0.5 Ml Syringe","code_information":[{"code":"4079104","type":"CDM"},{"code":"636","type":"RC"},{"code":"70461065403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":41,"maximum":2801,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"New patient office or other outpatient visit, 30 min","code_information":[{"code":"700735","type":"CDM"},{"code":"521","type":"RC"},{"code":"99203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Screw/cancellous 4.0x40mm #207.040","code_information":[{"code":"3256655","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Screw/locking 7.3 X70mm #207.070","code_information":[{"code":"3251896","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Screw/locking 7.3x95mm #207.095","code_information":[{"code":"3251895","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Kii Sheilded Bladed Acess 5x100 Ctb03","code_information":[{"code":"3250933","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Inj Trig Pt 1-2 Muscles Mcr Tech","code_information":[{"code":"710200","type":"CDM"},{"code":"510","type":"RC"},{"code":"20552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Admin Covid 19 Vaccine Single Dose","code_information":[{"code":"3295481","type":"CDM"},{"code":"771","type":"RC"},{"code":"90480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Culture Blood (1 Set)","code_information":[{"code":"4010101","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Immunoglobulin; Igg*","code_information":[{"code":"4015040","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Immunoglobulin; Iga*","code_information":[{"code":"4015042","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Immunoglubulin; Igm*","code_information":[{"code":"4015041","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Cult Each Organism Id Uvmc","code_information":[{"code":"4010823","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Microbe Susceptible Diffuse","code_information":[{"code":"4016354","type":"CDM"},{"code":"300","type":"RC"},{"code":"87181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Shoe/darby Postop Mens/sm","code_information":[{"code":"3253306","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Shoe/darby Postop Womens/sm","code_information":[{"code":"3251166","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":111,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":72},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":41},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":75},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Commercial","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":41},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Cryptococcus Ag Screen/titer Serum Mayo","code_information":[{"code":"4018029","type":"CDM"},{"code":"300","type":"RC"},{"code":"83695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Permethrin 5% Body Cream 60gm","code_information":[{"code":"4077072","type":"CDM"},{"code":"250","type":"RC"},{"code":"47202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Inj Sngl Tendon Sheath/ligament Mcr Tech","code_information":[{"code":"710198","type":"CDM"},{"code":"510","type":"RC"},{"code":"20550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Speech Audiometry W/speech Recog Tech","code_information":[{"code":"710216","type":"CDM"},{"code":"471","type":"RC"},{"code":"92556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Wrap/hinged Knee W/ Popliteal L","code_information":[{"code":"3700708","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700708","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Wrap/hinged Knee W/ Popliteal M","code_information":[{"code":"3700707","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700707","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Wrap/hinged Knee W/ Popliteal S","code_information":[{"code":"3700706","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700706","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Wrap/hinged Knee W/ Popliteal Xl","code_information":[{"code":"3700709","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700709","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Wrap/hinged Knee W/ Popliteal Xxl","code_information":[{"code":"3700710","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP3700710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Cruise Control #1192459","code_information":[{"code":"3258690","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258690","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Pap Test Thin Prep Uvmc","code_information":[{"code":"4017914","type":"CDM"},{"code":"310","type":"RC"},{"code":"88175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Beta Hcg Tumor Marker  Mayo","code_information":[{"code":"4016853","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Tapentadol And Metabolite Urine Mayo","code_information":[{"code":"4017850","type":"CDM"},{"code":"300","type":"RC"},{"code":"80372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Brace/wrist Right Med #15394","code_information":[{"code":"3255163","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Blade Myringotomy Spear Tip Narrow","code_information":[{"code":"3258517","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258517","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":110,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":71},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ultrasonic Guidance  Needle Placemnt Mcr","code_information":[{"code":"710071","type":"CDM"},{"code":"510","type":"RC"},{"code":"76942","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Shoe/darby Postop X-small","code_information":[{"code":"3700664","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Charge Insulin Total Mayo","code_information":[{"code":"4016941","type":"CDM"},{"code":"300","type":"RC"},{"code":"83525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Culture Bacterial Other Uvmc","code_information":[{"code":"4011857","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Hiv 1 Ab Chg Uvmc","code_information":[{"code":"4016880","type":"CDM"},{"code":"300","type":"RC"},{"code":"86701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Hiv 2 Ab Chg Uvmc","code_information":[{"code":"4011707","type":"CDM"},{"code":"300","type":"RC"},{"code":"86702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Zinc, 24 Hr Urine, Mayo","code_information":[{"code":"4017809","type":"CDM"},{"code":"300","type":"RC"},{"code":"84630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Iontophoresis Per 15 Min Mv","code_information":[{"code":"4090614-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97033","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Sodium Zirconium Cyclosilicate 10 Gm","code_information":[{"code":"4070140","type":"CDM"},{"code":"250","type":"RC"},{"code":"31011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":109,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":74},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Blood Draw Through Mediport","code_information":[{"code":"4011915","type":"CDM"},{"code":"300","type":"RC"},{"code":"36592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Cuff/bladder Disp 18inch","code_information":[{"code":"3251836","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Aircast Ankle Splint","code_information":[{"code":"700912","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Cannula Rfa 18ga 145mm Straight","code_information":[{"code":"3700370","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700370","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ldh Serum","code_information":[{"code":"4010139","type":"CDM"},{"code":"300","type":"RC"},{"code":"83615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Varicella Zoster Igg Ab Serum Uvmc","code_information":[{"code":"4015099","type":"CDM"},{"code":"300","type":"RC"},{"code":"86787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Salicylate","code_information":[{"code":"4010134","type":"CDM"},{"code":"300","type":"RC"},{"code":"80329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ldh Fluids Uvmc","code_information":[{"code":"4010563","type":"CDM"},{"code":"300","type":"RC"},{"code":"83615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4017759","type":"CDM"},{"code":"301","type":"RC"},{"code":"84154","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"..Actin Igg Ab Uvmc","code_information":[{"code":"4011026","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Culture Typing Mayo","code_information":[{"code":"4016510","type":"CDM"},{"code":"300","type":"RC"},{"code":"87140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Ref Ttg Iga Ab Mayo","code_information":[{"code":"4016155","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Albuterol Inhaler 90mcg/act (Ventolin)","code_information":[{"code":"4078036","type":"CDM"},{"code":"250","type":"RC"},{"code":"17306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":9,"type":"ME"}},{"description":"Gemcitabine 1000 Mg Vial","code_information":[{"code":"4076221","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021023550","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":40,"maximum":2801,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Oxaliplatin: 100 Mg Vial","code_information":[{"code":"4077547","type":"CDM"},{"code":"636","type":"RC"},{"code":"78193","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"4390277-GO","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Therapeutic Activities Per 15 Minutes Mv","code_information":[{"code":"4090612-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97530","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":40,"maximum":108,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":70},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":40},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":73},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Commercial","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":40},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Sodium Polystyrene Sulfonate 15 Grams","code_information":[{"code":"4072733","type":"CDM"},{"code":"250","type":"RC"},{"code":"46287000660","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":39,"maximum":2801,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}],"drug_information":{"unit":15,"type":"GR"}},{"description":"Retractor/iris #Ir1005","code_information":[{"code":"3259468","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259468","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":107,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Dx Laryngoscopy Mcr Tech","code_information":[{"code":"710041","type":"CDM"},{"code":"510","type":"RC"},{"code":"31575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":107,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Glomerular Basemt Antibody Mayo","code_information":[{"code":"4010840","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":107,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Pack/phlebotomy #4r0012","code_information":[{"code":"3259141","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":107,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cisplatin 50 Mg / 50 Ml","code_information":[{"code":"4076196","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323010351","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":39,"maximum":2801,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Pump/harmony Manual Breast","code_information":[{"code":"3258857","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":107,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":69},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"4010200","type":"CDM"},{"code":"301","type":"RC"},{"code":"81000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Rast Immunoglobulin E (Ige)","code_information":[{"code":"4010291","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Pads/leg Holder #Rs4133v","code_information":[{"code":"3259523","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Rast Egg Whites Mayo","code_information":[{"code":"4010263","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Rast Egg Yolks Mayo","code_information":[{"code":"4010265","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Rast Beef Ige Mayo","code_information":[{"code":"4010252","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Lipase","code_information":[{"code":"4017851","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Type (Rh)  Blood","code_information":[{"code":"4020106","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Amylase","code_information":[{"code":"4010118","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Charge Methlylenedioxyamphetamine  Mayo","code_information":[{"code":"4016922","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Charge Amphet 3or4 Mayo","code_information":[{"code":"4016921","type":"CDM"},{"code":"300","type":"RC"},{"code":"80325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"C Peptide Serum   Mayo","code_information":[{"code":"4011600","type":"CDM"},{"code":"300","type":"RC"},{"code":"84681","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Rast Peanut","code_information":[{"code":"4016008","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Beta Crosslaps Ctx Serum Mayo","code_information":[{"code":"4016567","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ph Fluid","code_information":[{"code":"4016687","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4017234","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Culture Fungus Blood Uvmc","code_information":[{"code":"4011219","type":"CDM"},{"code":"300","type":"RC"},{"code":"87103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Screw/canc 4.0mmx26mm #207.026","code_information":[{"code":"3256997","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Paste/stomahesive #1839-10","code_information":[{"code":"3251887","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251887","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Trichloroacetic Acid Crystals","code_information":[{"code":"4079027","type":"CDM"},{"code":"250","type":"RC"},{"code":"51552031202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":39,"maximum":2801,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Tomosynthesis Breast Lt Diagnost Unilat","code_information":[{"code":"4040264-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77061","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Tomosynthesis Breast Rt Diagnost Unilat","code_information":[{"code":"4040267-TC","type":"CDM"},{"code":"401","type":"RC"},{"code":"77061","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":39,"maximum":106,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":39},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":72},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Commercial","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":39},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Screw/cortex 3.5mmx60mm #204.860","code_information":[{"code":"3258800","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"K-wire .062 #Kw062ss","code_information":[{"code":"3258583","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb M Lf","code_information":[{"code":"3700311","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb S Rt","code_information":[{"code":"3700305","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb L Rt","code_information":[{"code":"3700307","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb M Rt","code_information":[{"code":"3700306","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb Xl Rt","code_information":[{"code":"3700308","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb S Lf","code_information":[{"code":"3700310","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb L Lf","code_information":[{"code":"3700312","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb Xl Lf","code_information":[{"code":"3700313","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb Xs Rt","code_information":[{"code":"3700304","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ultra Fit Wrist Splint W/abd Thumb Xs Lf","code_information":[{"code":"3700309","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Buprenorphrine And Metab Mayo","code_information":[{"code":"4017215","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Mayo Buprenorphrine And Metab","code_information":[{"code":"4011139","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Urea Random Urine Mayo","code_information":[{"code":"4015935","type":"CDM"},{"code":"300","type":"RC"},{"code":"84540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Spotted Fever Grp  Ab Igg","code_information":[{"code":"4016827","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Spotted Fever Grp Igm","code_information":[{"code":"4016828","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"C1 Esterase Inhibitor Ag  Mayo","code_information":[{"code":"4011076","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Diff/auto Ads Arc Serum","code_information":[{"code":"4020169","type":"CDM"},{"code":"390","type":"RC"},{"code":"86978","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Mayo [-2] Propsa","code_information":[{"code":"4017758","type":"CDM"},{"code":"300","type":"RC"},{"code":"86316","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Ref Antibiotic Sensitivity Uvmc","code_information":[{"code":"4011762","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Blood test, comprehensive group of blood chemicals","code_information":[{"code":"4011721","type":"CDM"},{"code":"301","type":"RC"},{"code":"80053","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Irrig Glycine 3000ml","code_information":[{"code":"3252305","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Humidifier/high Flo #301-p3050ea","code_information":[{"code":"3251007","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Omnipaque 350/100 542y","code_information":[{"code":"3250955","type":"CDM"},{"code":"636","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Thumb Spica Universal Splint","code_information":[{"code":"3255018","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3808","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Testosterone Cypionate 200 Mg/ml","code_information":[{"code":"4078929","type":"CDM"},{"code":"636","type":"RC"},{"code":"90086","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Sodium Bicarbonate 50 Meq / 50 Ml Vial","code_information":[{"code":"4073270","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323008950","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":38,"maximum":2801,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Hydroxyzine 50 Mg / Ml","code_information":[{"code":"4073227","type":"CDM"},{"code":"636","type":"RC"},{"code":"51756","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":105,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":68},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":71},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Nafcillin 2 Gm Vial","code_information":[{"code":"4070042","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150012315","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":38,"maximum":2801,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Wire/guide .038 #620-100","code_information":[{"code":"3257207","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Electrode/leep 20x12mm","code_information":[{"code":"3700394","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Electrode/loop 20x12","code_information":[{"code":"3700562","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700562","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Physical Exam 18-39 Yrs Est Pt Medicare","code_information":[{"code":"710114","type":"CDM"},{"code":"510","type":"RC"},{"code":"99395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Legionella  Mayo  Ag Urine","code_information":[{"code":"4017124","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Mayo Id By Maldi-tof","code_information":[{"code":"4016865","type":"CDM"},{"code":"300","type":"RC"},{"code":"87076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ethosuximide Serum  Mayo","code_information":[{"code":"4010962","type":"CDM"},{"code":"300","type":"RC"},{"code":"80168","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Mayo Bact Cult Aer & Susc","code_information":[{"code":"4010430","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Dressing/optifoam Gent Ag Post Op 4x8","code_information":[{"code":"3251526","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251526","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Shoe/darby Postop Mens/med","code_information":[{"code":"3253307","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Shoe/darby Postop Womens/med","code_information":[{"code":"3253301","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ez-stabilizer","code_information":[{"code":"3250458","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250458","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":104,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":67},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":70},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Insulin Ab","code_information":[{"code":"4017857","type":"CDM"},{"code":"300","type":"RC"},{"code":"86337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Pin/steinman Treaded 3/16 #262-01-04","code_information":[{"code":"3256854","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3256854","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Debride Subq Tissue 1st 20 Sqcm Mcr Tech","code_information":[{"code":"710300","type":"CDM"},{"code":"510","type":"RC"},{"code":"11042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Needle Spinal Chiba 22gx6","code_information":[{"code":"3700408","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Chlmyd Trach Dna Apt Prob Uvmc","code_information":[{"code":"4011943","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Culture Wound Rrmc","code_information":[{"code":"4017174","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Kidney Stone Analysis  Mayo","code_information":[{"code":"4015554","type":"CDM"},{"code":"300","type":"RC"},{"code":"82365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Culture Sputum Rrmc","code_information":[{"code":"4017254","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Mayo Tp-pa Ab Confirm","code_information":[{"code":"4016647","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Culture Routine Charge Rrmc","code_information":[{"code":"4017241","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Triglycerides","code_information":[{"code":"4011992","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Apolipoprotein B Mayo","code_information":[{"code":"4017049","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Culture Body Fluid Rrmc","code_information":[{"code":"4017244","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Creatinine 24hr Urine Mayo","code_information":[{"code":"4017152","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Ca 125 Uvmc","code_information":[{"code":"4010831","type":"CDM"},{"code":"300","type":"RC"},{"code":"86304","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Culture Csf Rrmc","code_information":[{"code":"4017246","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Mitochondrial Antibodies  Mayo","code_information":[{"code":"4010319","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Culture Ear Rrmc","code_information":[{"code":"4017247","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Charge Smear Afb Uvmc","code_information":[{"code":"4016273","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Culture Eye Rrmc","code_information":[{"code":"4017249","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Brucella Ab Igg","code_information":[{"code":"4016829","type":"CDM"},{"code":"300","type":"RC"},{"code":"86622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Brucella Ab Igm","code_information":[{"code":"4016830","type":"CDM"},{"code":"300","type":"RC"},{"code":"86622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Culture Respiratory Uvmc","code_information":[{"code":"4010251","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Rast Chocolate Mayo","code_information":[{"code":"4016031","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Specific Gravity Fluids Mayo","code_information":[{"code":"4011233","type":"CDM"},{"code":"300","type":"RC"},{"code":"84315","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":".Fluorescent Noninfect Uvmc","code_information":[{"code":"4017129","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Pta Fluidotherapy","code_information":[{"code":"4091031-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97022","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":38,"maximum":103,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":38},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Commercial","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":38},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Screw/canc 4.0mmx20mm #206.020","code_information":[{"code":"3256418","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Wire/kirschner","code_information":[{"code":"3250832","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Screw/canc 3.5x10mm #206.010","code_information":[{"code":"3250737","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Screw/canc 4.0x30mm #206.030","code_information":[{"code":"3258801","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Screw/canc4.0x12mm #206.012","code_information":[{"code":"3250738","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Knee Immobilizer","code_information":[{"code":"700894","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Accoustic Immitance Testing Tech","code_information":[{"code":"711034","type":"CDM"},{"code":"471","type":"RC"},{"code":"92570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Vit D 25 Oh Total (D2 & D3) Uvm","code_information":[{"code":"4011989","type":"CDM"},{"code":"300","type":"RC"},{"code":"82306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Insulin Growth Factor Binding 3 Mayo","code_information":[{"code":"4011807","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Osmolality Urine   Uvmc","code_information":[{"code":"4010906","type":"CDM"},{"code":"300","type":"RC"},{"code":"83935","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".T4","code_information":[{"code":"4012264","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"..Psa Totl Screening (Medicare Only) Uvm","code_information":[{"code":"4017707","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Fibrin Split Product","code_information":[{"code":"4010241","type":"CDM"},{"code":"300","type":"RC"},{"code":"85362","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Ropivacaine 7.5mg/ml 20ml","code_information":[{"code":"4078520","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323028721","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":37,"maximum":2801,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Methylprednisolone Acet  80 Mg  Ml","code_information":[{"code":"4073467","type":"CDM"},{"code":"636","type":"RC"},{"code":"93475","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":37,"maximum":102,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":66},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":69},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Hydrocortisone 100 Mg Vial","code_information":[{"code":"4073194","type":"CDM"},{"code":"636","type":"RC"},{"code":"90825","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Naloxone 2 Mg / 2 Ml Luer Tip","code_information":[{"code":"4078200","type":"CDM"},{"code":"636","type":"RC"},{"code":"76329336901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":37,"maximum":2801,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Screw 4.5mmx50mm","code_information":[{"code":"3258114","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Screw/cortex 4.5mmx26mm","code_information":[{"code":"3256335","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Screw/cortex 4.5mmx30mm","code_information":[{"code":"3256433","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Screw/cortex 4.5mmx32mm","code_information":[{"code":"3256449","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Aspir/inj Of Small Joint/bursa Mcr Tech","code_information":[{"code":"710176","type":"CDM"},{"code":"510","type":"RC"},{"code":"20600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Pessary Non Rubber Any Type","code_information":[{"code":"710210","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4562","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Nasal Endoscopy Diagnostic Mcr Tech","code_information":[{"code":"710063","type":"CDM"},{"code":"510","type":"RC"},{"code":"31231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Biopsy Of External Ear Canal Mcr Tech","code_information":[{"code":"710364","type":"CDM"},{"code":"510","type":"RC"},{"code":"69105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"18tray/tru Measure Cath 16fr #2006","code_information":[{"code":"3253035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Sodium Bicarbonate 8.4% Vial (10 Ml) *","code_information":[{"code":"4079142","type":"CDM"},{"code":"250","type":"RC"},{"code":"40949","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":101,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":65},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":37},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":68},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Commercial","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":37},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Cephalexin 250 Mg / 5 Ml Susp (200 Ml)","code_information":[{"code":"4075004","type":"CDM"},{"code":"250","type":"RC"},{"code":"93417","type":"CPT","modifier":"774"}],"standard_charges":[{"setting":"outpatient","modifier_code":["774"],"minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Cephalexin 250 Mg / 5 Ml Susp (100 Ml)","code_information":[{"code":"4077312","type":"CDM"},{"code":"250","type":"RC"},{"code":"93417","type":"CPT","modifier":"773"}],"standard_charges":[{"setting":"outpatient","modifier_code":["773"],"minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Ceftriaxone Sodium Per 250 Mg Inj","code_information":[{"code":"700866","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0696","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw/cortex 3.5x16mm #204.816","code_information":[{"code":"3255889","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5mmx45mm #204.845","code_information":[{"code":"3256550","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5x18mm #204.818","code_information":[{"code":"3256303","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5mmx38 #204.838","code_information":[{"code":"3258815","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cancellous 4.0x30mm #207.030","code_information":[{"code":"3256620","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5mmx36mm #204.836","code_information":[{"code":"3256359","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5mmx40mm #204.840","code_information":[{"code":"3256548","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5x34mm #204.834","code_information":[{"code":"3258814","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/cortex 3.5x42mm #204.842","code_information":[{"code":"3251959","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Electrode/leep 20x15mm","code_information":[{"code":"3700395","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700395","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Ref Presump Bact Id Uvmc","code_information":[{"code":"4010149","type":"CDM"},{"code":"300","type":"RC"},{"code":"87088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Electrode/leep 20x15","code_information":[{"code":"3700561","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700561","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Magnesium","code_information":[{"code":"4010233","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Charge Rrmc Gty Probe Trichomonas","code_information":[{"code":"4017284","type":"CDM"},{"code":"300","type":"RC"},{"code":"87660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Charge Rrmc Gty Probe Candida","code_information":[{"code":"4017282","type":"CDM"},{"code":"300","type":"RC"},{"code":"87480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Charge Rrmc Gty Probe Gardnerella","code_information":[{"code":"4017283","type":"CDM"},{"code":"300","type":"RC"},{"code":"87510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Mumps Igg Ab   Uvmc","code_information":[{"code":"4010329","type":"CDM"},{"code":"300","type":"RC"},{"code":"86735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Magnesium Urine Random Uvm","code_information":[{"code":"4011761","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Culture Medical Device Rrmc","code_information":[{"code":"4017260","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Culture Urine  Uvmc","code_information":[{"code":"4012251","type":"CDM"},{"code":"300","type":"RC"},{"code":"87086","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Lyme Disease Serology Rrmc","code_information":[{"code":"4017291","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Pyruvic Acid Mayo","code_information":[{"code":"4011479","type":"CDM"},{"code":"300","type":"RC"},{"code":"84210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Neuromusc Re-ed Per 15 Minutes -Ot","code_information":[{"code":"4090270-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97112","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Fluidotherapy *Ot Only**","code_information":[{"code":"4390017-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97022","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Fluidotherapy *Pt Only*","code_information":[{"code":"4390018-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97022","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Neuromusc Re-ed Per 15 Minutes (Bf)","code_information":[{"code":"4090203-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97112","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":36,"maximum":100,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Diltiazem 125 Mg/ D5w 125 Ml [Premix]","code_information":[{"code":"4070260","type":"CDM"},{"code":"250","type":"RC"},{"code":"70092157536","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":36,"maximum":2801,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Dexamethasone Oral 1 Mg/ml (30 Ml)","code_information":[{"code":"4077089","type":"CDM"},{"code":"259","type":"RC"},{"code":"54317","type":"CPT","modifier":"644"}],"standard_charges":[{"setting":"outpatient","modifier_code":["644"],"minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Venipuncture, Diag Or Ther  Not Routine","code_information":[{"code":"4080264","type":"CDM"},{"code":"361","type":"RC"},{"code":"36410","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ez-connect #9013 **Obsolete** No Sub","code_information":[{"code":"3250837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Tube/paparella Type Ventalation","code_information":[{"code":"3251240","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Venipuncture Req Phys/qhp Skill","code_information":[{"code":"3281810","type":"CDM"},{"code":"761","type":"RC"},{"code":"36410","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ekg Rhythm Strip","code_information":[{"code":"4030103","type":"CDM"},{"code":"730","type":"RC"},{"code":"93040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Er-ekg Rhythm Strip","code_information":[{"code":"4030109","type":"CDM"},{"code":"730","type":"RC"},{"code":"93040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Observation Service Per Hour","code_information":[{"code":"3230306","type":"CDM"},{"code":"762","type":"RC"},{"code":"G0378","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cpk","code_information":[{"code":"4010130","type":"CDM"},{"code":"300","type":"RC"},{"code":"82550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Vit D 25 Oh Total (D2 & D3)","code_information":[{"code":"4017614","type":"CDM"},{"code":"300","type":"RC"},{"code":"82306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Charge Uvmc Tiss Ihc Addl Slides","code_information":[{"code":"4017953","type":"CDM"},{"code":"310","type":"RC"},{"code":"88341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".25 Hydroxyvitamin D2 And D3 Mayo","code_information":[{"code":"4015058","type":"CDM"},{"code":"300","type":"RC"},{"code":"82306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Complete blood cell count (CBC), automated","code_information":[{"code":"4016108","type":"CDM"},{"code":"301","type":"RC"},{"code":"85027","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"1 25 Dihydroxyvitamin D Mayo","code_information":[{"code":"4015726","type":"CDM"},{"code":"300","type":"RC"},{"code":"82652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"..Calcitriol 1,25 Dihydroxy Vit D Mayo","code_information":[{"code":"4018008","type":"CDM"},{"code":"300","type":"RC"},{"code":"82652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cath/2 Way 16fr 5cc 0169l16","code_information":[{"code":"3259196","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Peak Flow Meter Assess #Acc710","code_information":[{"code":"3254380","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cath/foley Council 18fr/5cc  0196l18","code_information":[{"code":"3254076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Kit/supine Cervical Traction #07000","code_information":[{"code":"3255288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Kit/universal Cannula 5mmx76 #012405","code_information":[{"code":"3255318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Vac Sensa T.r.a.c. Pad #M8275057/10","code_information":[{"code":"3250912","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Sensory Integrationot","code_information":[{"code":"4390413-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97533","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":36,"maximum":99,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":64},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":67},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Hw-employee Mmr Vaccine","code_information":[{"code":"5010009","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cannulous Titanium 4.0 #407.035","code_information":[{"code":"3251635","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Screw/canc 4.0mmx20mm #207.020","code_information":[{"code":"3256995","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Needle Spinal Chiba 22gx5","code_information":[{"code":"3700407","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Shoe/orthowedge Healing Large","code_information":[{"code":"3700754","type":"CDM"},{"code":"270","type":"RC"},{"code":"A9283","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Charge Opiates 1 Or More Urine Mayo","code_information":[{"code":"4011804","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Charge Oxycodone Urine Mayo","code_information":[{"code":"4016919","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Smooth Muscle Ab Screen Mayo","code_information":[{"code":"4017144","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Magnesium Urine 24 Hr Mayo","code_information":[{"code":"4015353","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Calif Encep Ser Csf Ab Igg","code_information":[{"code":"4016419","type":"CDM"},{"code":"300","type":"RC"},{"code":"86651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Calif Encep Ser Csf Ab Igm","code_information":[{"code":"4016420","type":"CDM"},{"code":"300","type":"RC"},{"code":"86651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".East Equine Encep Ser Csf Ab Igg","code_information":[{"code":"4016421","type":"CDM"},{"code":"300","type":"RC"},{"code":"86652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".East Equine Encep Ser Csf Ab Igm","code_information":[{"code":"4016422","type":"CDM"},{"code":"300","type":"RC"},{"code":"86652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".St Louis Encep Csf Ab Igm","code_information":[{"code":"4016424","type":"CDM"},{"code":"300","type":"RC"},{"code":"86653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".St Louis Encep Ser Csf Ab Igg","code_information":[{"code":"4016423","type":"CDM"},{"code":"300","type":"RC"},{"code":"86653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".West Equ Encep Ser Csf Ab Igg","code_information":[{"code":"4016425","type":"CDM"},{"code":"300","type":"RC"},{"code":"86654","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".West Equ Encep Ser Csf Ab Igm","code_information":[{"code":"4016426","type":"CDM"},{"code":"300","type":"RC"},{"code":"86654","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Pre-rx Rbcs W/chem/drugs-arc*","code_information":[{"code":"4020175","type":"CDM"},{"code":"390","type":"RC"},{"code":"86970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Abo Rh Rrmc","code_information":[{"code":"4011896","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":98,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Commercial","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":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Vancomycin 1500 Mg / 300 Ml [Premix]","code_information":[{"code":"4070203","type":"CDM"},{"code":"636","type":"RC"},{"code":"70594004301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":36,"maximum":2801,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":63},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":36},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":66},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":1500,"type":"ME"}},{"description":"Drain/flat Perforated 10mm","code_information":[{"code":"3250620","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Insulin Glargine Pen 100 Units/ml (3ml)","code_information":[{"code":"4070274","type":"CDM"},{"code":"637","type":"RC"},{"code":"J1815","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw/canc 4.0mmx28mm #206.028","code_information":[{"code":"3256602","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Screw/cancellous 4.0x28cm #207.028","code_information":[{"code":"3256662","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Screw/cortex 4.5mmx48mm #214.048","code_information":[{"code":"3256474","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Amoxicillin 125mg/5ml 150ml","code_information":[{"code":"4672672","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paste/monsel's","code_information":[{"code":"3257543","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Iron  Uvm","code_information":[{"code":"4017690","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Iron Binding Capacity Uvm","code_information":[{"code":"4017692","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Charge Uvmc Lyme Ab Confirm","code_information":[{"code":"4016285","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Calcium Creat Ratio Random Ua Mayo","code_information":[{"code":"4017668","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Charge D Dimer Mayo","code_information":[{"code":"4010288","type":"CDM"},{"code":"300","type":"RC"},{"code":"85379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Charge Uvmc Chromo Addl Cells","code_information":[{"code":"4016210","type":"CDM"},{"code":"300","type":"RC"},{"code":"88285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Osmolality Serum   Uvmc","code_information":[{"code":"4010242","type":"CDM"},{"code":"300","type":"RC"},{"code":"83930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Cpk With Relative Index","code_information":[{"code":"4011068","type":"CDM"},{"code":"300","type":"RC"},{"code":"82550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Lithium Uvm","code_information":[{"code":"4017693","type":"CDM"},{"code":"300","type":"RC"},{"code":"80178","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Lyme Igg Immunoblot","code_information":[{"code":"4016832","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Stool Chloride Random Mayo","code_information":[{"code":"4016604","type":"CDM"},{"code":"300","type":"RC"},{"code":"82438","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Chlamydia Trachomatis Pcr Rrmc","code_information":[{"code":"4017741","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Measles (Rubeola) Pcr Vdhl","code_information":[{"code":"4017336","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Bord Parapertussis Pcr Vdhl","code_information":[{"code":"4016838","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Bord Pertussis Pcr Vdhl","code_information":[{"code":"4016837","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Chlamydia Trach Pcr Urogenital Rrmc","code_information":[{"code":"4017285","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Gonorrhoeae Pcr Urogenital Rrmc","code_information":[{"code":"4017286","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Mrsa Molecular Detection","code_information":[{"code":"4016258","type":"CDM"},{"code":"300","type":"RC"},{"code":"87641","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Mumps Pcr Oral Vdhl","code_information":[{"code":"4017231","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"N Gonorrhoeae Dna Probe Mayo","code_information":[{"code":"4017782","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Screw/canc 4.0mmx26mm #206.026","code_information":[{"code":"3256549","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Guide Wire/hydroglide (Whc)","code_information":[{"code":"3251414","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251414","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Wound Irrig System #55-2104","code_information":[{"code":"3257792","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Ther. Procedures (Group) I/30 Min(bf)","code_information":[{"code":"4090238-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97150","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Ther Procedures (Group) I 30 Min Mv","code_information":[{"code":"4090610-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97150","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Ceftriaxone  1 Gm / 50 Ml D5w [Premix]","code_information":[{"code":"4070266","type":"CDM"},{"code":"636","type":"RC"},{"code":"26431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":97,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Omnipaque 350 Mg/ml (100ml)","code_information":[{"code":"4070091","type":"CDM"},{"code":"255","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":96,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":350,"type":"ME"}},{"description":".Each Addl Marker 1","code_information":[{"code":"4016358","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":96,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Quant Fraction Porphyrins","code_information":[{"code":"4016288","type":"CDM"},{"code":"300","type":"RC"},{"code":"84120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":96,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Sodium Feces Mayo","code_information":[{"code":"4016679","type":"CDM"},{"code":"300","type":"RC"},{"code":"84302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":96,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Theophylline Level Rrmc","code_information":[{"code":"4017316","type":"CDM"},{"code":"300","type":"RC"},{"code":"80198","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":96,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Diazepam 10 Mg / 2 Ml Carpuject","code_information":[{"code":"4071750","type":"CDM"},{"code":"636","type":"RC"},{"code":"69339013634","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":35,"maximum":2801,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Olanzapine 10 Mg Vial (Im Only)","code_information":[{"code":"4079118","type":"CDM"},{"code":"636","type":"RC"},{"code":"31722030801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":35,"maximum":2801,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Morphine 10 Mg / 10 Ml (1 Mg/ml) Pf Vial","code_information":[{"code":"4079139","type":"CDM"},{"code":"636","type":"RC"},{"code":"40938","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":96,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":62},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":65},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Methylergonovine 0.2 Mg Amp","code_information":[{"code":"4073141","type":"CDM"},{"code":"636","type":"RC"},{"code":"51707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Antibody Screen","code_information":[{"code":"4020101","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Charge Uvmc Hpv Det High Risk","code_information":[{"code":"4017954","type":"CDM"},{"code":"300","type":"RC"},{"code":"87624","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Babesia Microti Igg Mayo","code_information":[{"code":"4017801","type":"CDM"},{"code":"300","type":"RC"},{"code":"86753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Group B Strep Detection Pcr Rrmc","code_information":[{"code":"4017259","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Phosphorus Feces Mayo","code_information":[{"code":"4016680","type":"CDM"},{"code":"300","type":"RC"},{"code":"84100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Total T4(bt2)*","code_information":[{"code":"4011631","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Easy Cap Ii/pedi Cap #Pedicap","code_information":[{"code":"3259419","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Omnipaque 300/100 532y","code_information":[{"code":"3250954","type":"CDM"},{"code":"636","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cath Word 53404","code_information":[{"code":"3259698","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259698","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Cath/twin 20/22 Peripheral #1v-01100","code_information":[{"code":"3250102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":95,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":61},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":35},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":64},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Commercial","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":35},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Cefepime 1 Gm / 50 Ml [Premix]","code_information":[{"code":"4070256","type":"CDM"},{"code":"250","type":"RC"},{"code":"26431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Wire Kirschner Threaded 1.6x150mm 292.71","code_information":[{"code":"3256314","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Screw/bone 48mm #7112-9248","code_information":[{"code":"3259399","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Surg Tissue Level Iv Uvmc Chg","code_information":[{"code":"4017922","type":"CDM"},{"code":"310","type":"RC"},{"code":"88305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".N Gonorrhoeae Dna Amp Prob Uvmc","code_information":[{"code":"4015701","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Pregnancy, Hcg, Urine","code_information":[{"code":"4010228","type":"CDM"},{"code":"300","type":"RC"},{"code":"81025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Charge Shl Hcg Urine Qual","code_information":[{"code":"4017947","type":"CDM"},{"code":"300","type":"RC"},{"code":"81025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Sgot","code_information":[{"code":"4010191","type":"CDM"},{"code":"300","type":"RC"},{"code":"84450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Culture Fungus Mayo","code_information":[{"code":"4017903","type":"CDM"},{"code":"300","type":"RC"},{"code":"87102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Gram Stain Fungus Uvmc","code_information":[{"code":"4016894","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Enterovirus Antibody","code_information":[{"code":"4011132","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Cisplatin 100 Mg Aq","code_information":[{"code":"4077103","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323010365","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":34,"maximum":2801,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Cath/twin  18/20 #Iv-01150 (Arrow)","code_information":[{"code":"3257864","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Endosheath/slide On System #226401","code_information":[{"code":"3250742","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250742","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Electrical Stim Attend Man Ea 15min","code_information":[{"code":"4090315-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97032","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Iontophoresis","code_information":[{"code":"5010108-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97033","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Contrast Baths Per 15 Minutes Mv","code_information":[{"code":"4090615-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97034","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Electrical Stim Attended 15 Min Mv","code_information":[{"code":"4090613-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97032","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Electrical Stimulation, Attended 15 Min","code_information":[{"code":"4090251-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97032","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":34,"maximum":94,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Gadoterate Meglumine 0.5 Mmol  /Ml(15ml)","code_information":[{"code":"4070158","type":"CDM"},{"code":"255","type":"RC"},{"code":"67684200102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":34,"maximum":2801,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":63},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Mod Sedation Same Md  Ea Addt'l 15 Min","code_information":[{"code":"3239864","type":"CDM"},{"code":"370","type":"RC"},{"code":"99153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Mask/disp T-max","code_information":[{"code":"3251534","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251534","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"K-wire #02.111.501.10","code_information":[{"code":"3251453","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Nebulizer Med Rt Order","code_information":[{"code":"4170015","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Nebulizer Med","code_information":[{"code":"4170022","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Nebulizer Med 2nd Drug","code_information":[{"code":"4170027","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Metered Dose Inhaler","code_information":[{"code":"4170055","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Metered Dose Inhaler Subsequent","code_information":[{"code":"4170017","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Mdi 2nd Drug","code_information":[{"code":"4170067","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Nebulizer Treatment","code_information":[{"code":"3230436","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Sputum Induction","code_information":[{"code":"4170053","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Wbc, Stool","code_information":[{"code":"4015811","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Charge Uvmc Hpv Genotypes 16 & 18","code_information":[{"code":"4017932","type":"CDM"},{"code":"300","type":"RC"},{"code":"87625","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Hep A Igm Ab Mayo","code_information":[{"code":"4011319","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Calcium Ionized Mayo","code_information":[{"code":"4016089","type":"CDM"},{"code":"300","type":"RC"},{"code":"82330","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Insulin Like Growth Factor 1 Lc-ms Mayo","code_information":[{"code":"4015681","type":"CDM"},{"code":"300","type":"RC"},{"code":"84305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Charge Fibrinogen Mayo","code_information":[{"code":"4010135","type":"CDM"},{"code":"300","type":"RC"},{"code":"85384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Charge Mayo Susceptibility","code_information":[{"code":"4016846","type":"CDM"},{"code":"300","type":"RC"},{"code":"87181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Pth Intact Mayo","code_information":[{"code":"4012278","type":"CDM"},{"code":"300","type":"RC"},{"code":"83970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Cath/trocar 16frx10  #561035 (Argyle)","code_information":[{"code":"3253936","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Needle/trucut 2n2704x","code_information":[{"code":"3250820","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Support/ab Mother-to-be #32505-xlrg","code_information":[{"code":"3257587","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":93,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":60},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":34},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Commercial","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":34},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Psychotherapy 30 Minutes","code_information":[{"code":"4340005","type":"CDM"},{"code":"912","type":"RC"},{"code":"W9171","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Cpm Shoulder Daily Charge","code_information":[{"code":"4090103","type":"CDM"},{"code":"420","type":"RC"},{"code":"CP4090103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Wire/kirschner #186-002-69","code_information":[{"code":"3253325","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Knife/crescent Laseredge #E7510d","code_information":[{"code":"3258658","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258658","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Curette Rigid Curved 7mm","code_information":[{"code":"3700445","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700445","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"4010174","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Bilirubin Direct","code_information":[{"code":"4010476","type":"CDM"},{"code":"300","type":"RC"},{"code":"82248","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Charge Rrmc Presumptive Id","code_information":[{"code":"4017268","type":"CDM"},{"code":"300","type":"RC"},{"code":"87147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Bilirubin Total","code_information":[{"code":"4010119","type":"CDM"},{"code":"300","type":"RC"},{"code":"82247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Hcv Ab W Reflex To Hcv Rna Pcr Mayo","code_information":[{"code":"4017187","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Charge Dil Russells Vip Venom Time Mayo","code_information":[{"code":"4016347","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"..Theophylline Level Uvmc","code_information":[{"code":"401848","type":"CDM"},{"code":"300","type":"RC"},{"code":"80198","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Tray/tru Measure Cath 14fr","code_information":[{"code":"3251657","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251657","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Set/radial Artery Cath #Ra-04220","code_information":[{"code":"3251341","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Wire/k .028 #1652-59","code_information":[{"code":"3256946","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3256946","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Endo Ring Adult #E102","code_information":[{"code":"3251833","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Endo Ring Pedi #E103","code_information":[{"code":"3251832","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Resusitator/infant","code_information":[{"code":"3259628","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Tube/enteral Feeding Weighted","code_information":[{"code":"3252244","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Cytology Concentration Technique","code_information":[{"code":"4010351-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88108","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Hpv Detection Dhmc","code_information":[{"code":"4016900-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"87624","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Mannitol 20% Inj (500 Ml)","code_information":[{"code":"4071122","type":"CDM"},{"code":"250","type":"RC"},{"code":"99077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":92,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":59},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":62},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Rast Alternaria Tenuis","code_information":[{"code":"4012291","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Dog Dander","code_information":[{"code":"4012295","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Candida Albicans Mayo","code_information":[{"code":"4011553","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Dust Mite Pteronyssinus","code_information":[{"code":"4012294","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Elm","code_information":[{"code":"4012296","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Oak","code_information":[{"code":"4012314","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Ragweed Short","code_information":[{"code":"4012299","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Drug Screen Instrument Asstd","code_information":[{"code":"4012316","type":"CDM"},{"code":"300","type":"RC"},{"code":"80306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Dust Mite Farinae","code_information":[{"code":"4012305","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Inj Sngl Tendon Origin/insert Mcr Tech","code_information":[{"code":"710199","type":"CDM"},{"code":"510","type":"RC"},{"code":"20551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Prosthetic Training 15 Minutes Each","code_information":[{"code":"4090255","type":"CDM"},{"code":"420","type":"RC"},{"code":"97761","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"4016140","type":"CDM"},{"code":"301","type":"RC"},{"code":"81001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Hep B Surf Ag (Antigen) Uvmc","code_information":[{"code":"4011075","type":"CDM"},{"code":"300","type":"RC"},{"code":"87340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Glucose Maternity Load (1hr)","code_information":[{"code":"4010198","type":"CDM"},{"code":"300","type":"RC"},{"code":"82950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Nortriptyline   Mayo","code_information":[{"code":"4010992","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Hdl Cholesterol","code_information":[{"code":"4011991","type":"CDM"},{"code":"300","type":"RC"},{"code":"83718","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Birch Silver","code_information":[{"code":"4011262","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Cat Hair Epithelium","code_information":[{"code":"4012293","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Dil Serum Per Aliq-arc*","code_information":[{"code":"4011802","type":"CDM"},{"code":"300","type":"RC"},{"code":"86976","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Beech Ige    Mayo","code_information":[{"code":"4016135","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Rast Timothy Grass  Mayo","code_information":[{"code":"4010520","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Cort30 Uvmc","code_information":[{"code":"4016675","type":"CDM"},{"code":"300","type":"RC"},{"code":"80400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Vancomycin *Oral* 125 Mg / 5 Ml (120 Ml)","code_information":[{"code":"4077988","type":"CDM"},{"code":"250","type":"RC"},{"code":"40965","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Brace Ankle Air Foam Universal","code_information":[{"code":"3251397","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Isovue M200 10ml #141111","code_information":[{"code":"3259530","type":"CDM"},{"code":"255","type":"RC"},{"code":"Q9966","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Electrical Stim Attend Man Ea 15 Min Bf","code_information":[{"code":"4090212-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97032","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Contrast Baths Per 15 Minutes (Bf)","code_information":[{"code":"4090207-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97034","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Iontophoresis Per 15 Min","code_information":[{"code":"4090211-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97033","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Charge Dhmc Molecular Cyto 25-99 Cell","code_information":[{"code":"4011836-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88274","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":33,"maximum":90,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":61},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Catheter For Hysterography Mcr Tech","code_information":[{"code":"710359","type":"CDM"},{"code":"510","type":"RC"},{"code":"58340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Neb/uniheart W/infant Mask","code_information":[{"code":"3251941","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251941","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Cannula/nasal Co2/02 Pedi #M2751a","code_information":[{"code":"3259582","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Needle/stimutor 40mm #001187-70","code_information":[{"code":"3259632","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259632","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Cath/indwelling Femeral","code_information":[{"code":"3253689","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253689","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Tray/nerve Block Support Burron #Nb-100","code_information":[{"code":"3253892","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Saline Infus Sonohysterography Mcare","code_information":[{"code":"710356-TC","type":"CDM"},{"code":"320","type":"RC"},{"code":"76831","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":33,"maximum":89,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":58},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Commercial","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":33},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Continuous Med Nebulizer Ea Add Hr","code_information":[{"code":"4170004","type":"CDM"},{"code":"410","type":"RC"},{"code":"94645","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Alpha Fetoprotein Tumor Marker Uvmc","code_information":[{"code":"4011048","type":"CDM"},{"code":"300","type":"RC"},{"code":"82105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Ref Fungus Defin Id Uvmc","code_information":[{"code":"4010837","type":"CDM"},{"code":"300","type":"RC"},{"code":"87106","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Pack/eent Ii","code_information":[{"code":"3211500","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Norepinephrine 4 Mg /250 Ml D5w [Premix]","code_information":[{"code":"4070255","type":"CDM"},{"code":"250","type":"RC"},{"code":"33801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Gastrografin 120ml","code_information":[{"code":"3253443","type":"CDM"},{"code":"255","type":"RC"},{"code":"27004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"Fentanyl 1000 Mcg / 100 Ml Infusion Kit","code_information":[{"code":"4079033","type":"CDM"},{"code":"636","type":"RC"},{"code":"61553011148","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":2801,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Irinotecan Hcl 100 Mg / 5 Ml","code_information":[{"code":"4077254","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323019305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":2801,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Leucovorin 50 Mg Vial","code_information":[{"code":"4079129","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021081310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":2801,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Cath/2-way Silicone 14fr/5cc (Urology)","code_information":[{"code":"3251874","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Gel Silvasorb 1.5oz","code_information":[{"code":"3251925","type":"CDM"},{"code":"270","type":"RC"},{"code":"A6248","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Tracker/palumbo Patella Xl #Lb66364","code_information":[{"code":"3250303","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":88,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":57},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":60},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Cladosporium","code_information":[{"code":"4012303","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Aspergillus Mayo","code_information":[{"code":"4012300","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast English Plantain","code_information":[{"code":"4012297","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast June Grass Ige Mayo","code_information":[{"code":"4016173","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Penicilium Notatum","code_information":[{"code":"4012310","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Aureobasidium Pullulans Ige Mayo","code_information":[{"code":"4016172","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Bermuda Grass","code_information":[{"code":"4012292","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Chicken Feathers","code_information":[{"code":"4012302","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Goose Feathers","code_information":[{"code":"4012307","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Helminthosporium Halodes","code_information":[{"code":"4012308","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Mucor","code_information":[{"code":"4012309","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Phoma Betae","code_information":[{"code":"4012311","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Stemphylium","code_information":[{"code":"4012313","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Fixation Sleeve 12x100mm","code_information":[{"code":"3250784","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250784","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Crutch Underarm Pair Aluminum","code_information":[{"code":"710193","type":"CDM"},{"code":"290","type":"RC"},{"code":"E0114","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Fiberwire 2.0","code_information":[{"code":"3700771","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700771","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Rh (D)-arc* Ii","code_information":[{"code":"4020165","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".West Nile Virus Igm  Mayo","code_information":[{"code":"4017608","type":"CDM"},{"code":"300","type":"RC"},{"code":"86788","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Culture Cath Tip Rrmc","code_information":[{"code":"4017245","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Almond Mayo","code_information":[{"code":"4011825","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Fructosamine Serum  Mayo","code_information":[{"code":"4010217","type":"CDM"},{"code":"300","type":"RC"},{"code":"82985","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Box Elder Maple Tree Mayo","code_information":[{"code":"4010240","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Gram Stain Clue Cells/yeast","code_information":[{"code":"4016559","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Trichomonas Ag Detection","code_information":[{"code":"4016560","type":"CDM"},{"code":"300","type":"RC"},{"code":"87808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Cow Epithelium","code_information":[{"code":"4012304","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Duck Feathers","code_information":[{"code":"4012306","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Latex Mayo","code_information":[{"code":"4011925","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Rabbit Epithelium  Mayo","code_information":[{"code":"4016159","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Tree Profile 1 Mayo","code_information":[{"code":"4016084","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Rast Mouse Epithelium","code_information":[{"code":"4016479","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Irrig Lac Ring 3000ml","code_information":[{"code":"3250117","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4217","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"M.a.d. 600 W/syringe","code_information":[{"code":"3258385","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258385","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Aquatic Therapy Per 15 Minutes (Bf)","code_information":[{"code":"4090204-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97113","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Pta Aquatic Therapy Per 15 Minutes","code_information":[{"code":"4091028-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97113","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Enoxaparin 120 Mg /  0.8 Ml Inj","code_information":[{"code":"4078012","type":"CDM"},{"code":"636","type":"RC"},{"code":"75291","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":32,"maximum":87,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":59},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Clindamycin 75 Mg / 5 Ml Susp (100 Ml)","code_information":[{"code":"4078983","type":"CDM"},{"code":"250","type":"RC"},{"code":"64980051110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":2801,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Cosyntropin 250 Mcg Vial","code_information":[{"code":"4073058","type":"CDM"},{"code":"636","type":"RC"},{"code":"54859","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":86,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Fixation Sleeve 11x100mm","code_information":[{"code":"3250786","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":86,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Sulfacetamide 10% Ophth Soln","code_information":[{"code":"4671837","type":"CDM"},{"code":"259","type":"RC"},{"code":"24208067004","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":2801,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Immobilizer Knee 18","code_information":[{"code":"3700728","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":86,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Flex Guide Et Introducer Bougie 15fr","code_information":[{"code":"3250965","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":86,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Support/wrist Sz-8 #C9275-25-01","code_information":[{"code":"3258627","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":86,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":56},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":32},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Commercial","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":32},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"U/s Stim Needle 21x4","code_information":[{"code":"3700032","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700032","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cast Sup Sh Leg Ad Fib","code_information":[{"code":"701157","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4038","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Needle/spinal Chiba 22gx3.5","code_information":[{"code":"3700376","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700376","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Fna Bx W/o Img Guide; 1st Les Mcr Tech","code_information":[{"code":"710135","type":"CDM"},{"code":"510","type":"RC"},{"code":"10021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Job Pro Analysis Ea 15 Minutes","code_information":[{"code":"5010016","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Dna Double Strand Ab Uvmc","code_information":[{"code":"4010820","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Culture Sinus Rrmc","code_information":[{"code":"4017253","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Malarial Examination   Uvmc","code_information":[{"code":"4010171","type":"CDM"},{"code":"300","type":"RC"},{"code":"87207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Ammonium Urine","code_information":[{"code":"4017744","type":"CDM"},{"code":"300","type":"RC"},{"code":"82140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Culture Vre Screen Rrmc","code_information":[{"code":"4017256","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Culture Blood (1 Set) Rrmc","code_information":[{"code":"4017311","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Culture Routine Rrmc","code_information":[{"code":"4017172","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Hsv Igm Ifa (Reflex) Mayo","code_information":[{"code":"4016652","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4016652","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Culture Environmental Rrmc","code_information":[{"code":"4017248","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Rast Haddock Ige    Mayo","code_information":[{"code":"4016176","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Filterline H Set Adult/pedi #M1921a","code_information":[{"code":"3251129","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Screw/cortex 4.5mmx54mm #214.054","code_information":[{"code":"3257472","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cath/trocar 12frx9  561027 (Argyle)","code_information":[{"code":"3253937","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cath/trocar 24frx16  561050 (Argyle)","code_information":[{"code":"3253932","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cath/trocar 28frx16  #561068 (Argyle)","code_information":[{"code":"3253935","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cath/trocar 32frx16  #561076 (Argyle)","code_information":[{"code":"3253934","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Aquatic Program Ea 15 Minutes","code_information":[{"code":"5010021-GP","type":"CDM"},{"code":"430","type":"RC"},{"code":"97113","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Aquatic Therapy Per 15 Minutes","code_information":[{"code":"4090257-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97113","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Daptomycin 500 Mg Vial","code_information":[{"code":"4077787","type":"CDM"},{"code":"636","type":"RC"},{"code":"43598041311","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":31,"maximum":2801,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Dextrose Syringe 50% 25 Gm/50 Ml","code_information":[{"code":"4073069","type":"CDM"},{"code":"250","type":"RC"},{"code":"40975","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":85,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":55},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":58},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Marathon Ankle Stirrup White W/air-gel","code_information":[{"code":"3700314","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Brace/ankle Lace-up Sz L","code_information":[{"code":"3700765","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"..Culture Strep Rrmc","code_information":[{"code":"4017737","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cell Count With Diff-body Fluid","code_information":[{"code":"4010260","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cell Count With Diff-csf","code_information":[{"code":"4011715","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Aso Titer Serum  Mayo","code_information":[{"code":"4016589","type":"CDM"},{"code":"300","type":"RC"},{"code":"86060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Oxalate  Urine","code_information":[{"code":"4016631","type":"CDM"},{"code":"300","type":"RC"},{"code":"83945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Cannula/nasal Co2/02 Adult #M2750a","code_information":[{"code":"3259581","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259581","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Isovue 370/75ml #131652","code_information":[{"code":"3250898","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Orthosis Wraparound Knee/lrg","code_information":[{"code":"3250648","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Tray/custom Thoracentesis #Cms-5546","code_information":[{"code":"3250354","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250354","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":84,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":31},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":57},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Commercial","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":31},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Rast Aspergillus Fumigatus   Mayo","code_information":[{"code":"4010293","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Pap Screening Mcr Tech","code_information":[{"code":"710134","type":"CDM"},{"code":"510","type":"RC"},{"code":"Q0091","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Blood Alcohol Testing","code_information":[{"code":"3230435","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Initial new patient preventative medicine evaluation (18-39 years)","code_information":[{"code":"710131","type":"CDM"},{"code":"521","type":"RC"},{"code":"99385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Brace/ankle Lace-up Sz S","code_information":[{"code":"3700764","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Rast Cockroach Ige","code_information":[{"code":"4010277","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Rast Orchard Grass Ige","code_information":[{"code":"4010282","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Independent Blood Alcohol Testing","code_information":[{"code":"3230438","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP3230438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Celiac Ttg Iga  Mayo","code_information":[{"code":"4016015","type":"CDM"},{"code":"300","type":"RC"},{"code":"86364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Potassium","code_information":[{"code":"4010143","type":"CDM"},{"code":"300","type":"RC"},{"code":"84132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Celiac Ttg Igg Mayo","code_information":[{"code":"4016973","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Coombs Direct","code_information":[{"code":"4020102","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Rast Scallops Ige  Mayo","code_information":[{"code":"4016692","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Rast Guinea Pig Mayo","code_information":[{"code":"4016030","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Rast Horse Epithelium Ige Mayo","code_information":[{"code":"4016128","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Rast Strawberry Ige Mayo","code_information":[{"code":"4016104","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Cefdinir Susp 250 Mg / 5 Ml (60 Ml)","code_information":[{"code":"4078096","type":"CDM"},{"code":"250","type":"RC"},{"code":"67877054898","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":30,"maximum":2801,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Omnipaque 300 10ml #Y306","code_information":[{"code":"3251334","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Brace Ankle Foot Lrg/lft","code_information":[{"code":"3258214","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Total Count Cd 45","code_information":[{"code":"4016267-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"86356","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":30,"maximum":83,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":54},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":56},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Telehealth Originating Site Fac Fee","code_information":[{"code":"3290475","type":"CDM"},{"code":"780","type":"RC"},{"code":"Q3014","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Curette Pipet Endo 3mm","code_information":[{"code":"3700975","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Video Laryngoscope Mac #3","code_information":[{"code":"3700994","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700994","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Video Laryngoscope D-blade","code_information":[{"code":"3700995","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Curette Rigid Curved 12mm","code_information":[{"code":"3700446","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700446","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Video Laryngoscope Mac #4","code_information":[{"code":"3700993","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700993","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Microbe Susceptible Enzyme Uvmc","code_information":[{"code":"4010204","type":"CDM"},{"code":"300","type":"RC"},{"code":"87185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Pseudo Cholin Dibucaine Inhib  Mayo","code_information":[{"code":"4017229","type":"CDM"},{"code":"300","type":"RC"},{"code":"82638","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Immobilizer Knee 24","code_information":[{"code":"3255449","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Snare Lariat","code_information":[{"code":"3251810","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":82,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":53},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Vancomycin 1250 Mg / 250 Ml [Premix]","code_information":[{"code":"4070204","type":"CDM"},{"code":"636","type":"RC"},{"code":"70594005701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":30,"maximum":2801,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}],"drug_information":{"unit":1250,"type":"ME"}},{"description":"Screw/canc 4.0mmx45mm #206.045","code_information":[{"code":"3256434","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Screw/canc 4.0mmx40mm #206.040","code_information":[{"code":"3256420","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Cpm Leg Daily Charge","code_information":[{"code":"4090101","type":"CDM"},{"code":"420","type":"RC"},{"code":"CP4090101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Screw/4.0 X 60","code_information":[{"code":"3252118","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Screw/canc 4.0mmx14mm #206.014","code_information":[{"code":"3256395","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Screw/canc 4.0x35mm #206.035","code_information":[{"code":"3259487","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Smoking Cessation Consult 3-10min","code_information":[{"code":"40800001","type":"CDM"},{"code":"942","type":"RC"},{"code":"99406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Pin/steinman 2x229mm #187-01-69","code_information":[{"code":"3250905","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Charge Rrmc Minimum Inhib Concent","code_information":[{"code":"4017276","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Group A Strep Pcr Rrmc","code_information":[{"code":"4017961","type":"CDM"},{"code":"300","type":"RC"},{"code":"87651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Lamotrigine Mayo","code_information":[{"code":"4011667","type":"CDM"},{"code":"300","type":"RC"},{"code":"80175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Direct Coombs Arc","code_information":[{"code":"4020122","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Vdrl Syphilis Csf Mayo","code_information":[{"code":"4016650","type":"CDM"},{"code":"300","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Cult Aerobic Id Uvmc","code_information":[{"code":"4010834","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Vitamin D Total (25 Hydroxy) Rrmc","code_information":[{"code":"4017705","type":"CDM"},{"code":"300","type":"RC"},{"code":"82306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Biopatch White 1","code_information":[{"code":"3250491","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Ketorolac 0.5% Ophth Drops (3 Ml)","code_information":[{"code":"4078918","type":"CDM"},{"code":"636","type":"RC"},{"code":"61314012605","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":30,"maximum":2801,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}],"drug_information":{"unit":3,"type":"ML"}},{"description":"Screw/canc 4.0mmx10mm #207.010","code_information":[{"code":"3251662","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Sensor/finger Neonatal #1302 (Rmg)","code_information":[{"code":"3251438","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":81,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":30},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":55},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Commercial","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":30},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Followers/heyman 14fr #021114","code_information":[{"code":"3250599","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Application Of Unna Boot Mcr Tech","code_information":[{"code":"710249","type":"CDM"},{"code":"510","type":"RC"},{"code":"29580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Inject Nerve Block Pudendal Mcr Tech","code_information":[{"code":"710404","type":"CDM"},{"code":"510","type":"RC"},{"code":"64430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Speech Threshold Audiometry Tech","code_information":[{"code":"710259","type":"CDM"},{"code":"471","type":"RC"},{"code":"92555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Brace/ankle Lace-up Sz M","code_information":[{"code":"3700715","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Brace/ankle Lace-up Sz Xlg","code_information":[{"code":"3701141","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Brace/ankle Lace-up Sz Xsm","code_information":[{"code":"3701140","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Creatinine Serum","code_information":[{"code":"4010131","type":"CDM"},{"code":"300","type":"RC"},{"code":"82565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Charge Uvmc Prostate Biopsy Iv","code_information":[{"code":"4011702","type":"CDM"},{"code":"310","type":"RC"},{"code":"88305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Mono Spot","code_information":[{"code":"4010184","type":"CDM"},{"code":"300","type":"RC"},{"code":"86308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Charge Uvmc Immunofixation","code_information":[{"code":"4016866","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Alkaline Phosphatase","code_information":[{"code":"4010141","type":"CDM"},{"code":"300","type":"RC"},{"code":"84075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Protein Total Fluid Wo Refract Uvmc","code_information":[{"code":"4010756","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Phosphorus Urine Random   Uvmc","code_information":[{"code":"4011738","type":"CDM"},{"code":"300","type":"RC"},{"code":"84105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Cryoglobulin Serum Mayo","code_information":[{"code":"4010762","type":"CDM"},{"code":"300","type":"RC"},{"code":"82595","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Aerochamber W/ Sm Mask","code_information":[{"code":"3259062","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":80,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Isoflurane Solution","code_information":[{"code":"4074172","type":"CDM"},{"code":"250","type":"RC"},{"code":"66794001710","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":2801,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":52},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":54},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Doxycycline 100 Mg Vial","code_information":[{"code":"4073278","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323013011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":2801,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Nitroglycerin 50mg / 250ml D5w","code_information":[{"code":"4077404","type":"CDM"},{"code":"636","type":"RC"},{"code":"33810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Brace Palumbo Knee Md/lg","code_information":[{"code":"3258351","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1812","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Speech Therphy","code_information":[{"code":"4380000","type":"CDM"},{"code":"913","type":"RC"},{"code":"CP4380000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Eye Sphere #L1418","code_information":[{"code":"3259114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Followers/heyman 16fr #021116","code_information":[{"code":"3250291","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250291","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Followers/heyman 24fr #021124","code_information":[{"code":"3251857","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Drain/flat Perforated 7mm","code_information":[{"code":"3253133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Smoking Cessation Counseling 3to10 Min","code_information":[{"code":"4070305","type":"CDM"},{"code":"942","type":"RC"},{"code":"99406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Charge Rrmc Reference Bact Suscept","code_information":[{"code":"4017289","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Charge Mayo Lup Drvvt Confirm","code_information":[{"code":"4016345","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Packing Nasal Staxi-stat","code_information":[{"code":"3253685","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253685","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Band Strip Tract Flex Foam","code_information":[{"code":"3250335","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250335","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Brace Palumbo Knee Large","code_information":[{"code":"3258352","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258352","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Brace Palumbo Knee Med","code_information":[{"code":"3258350","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Flow Cyto X13*","code_information":[{"code":"4011441-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88182","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":29,"maximum":79,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":51},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Cath/foley Silicone Lubri-sil 20frx30cc","code_information":[{"code":"3251558","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251558","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Vacurette/9mm Straight","code_information":[{"code":"3251256","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251256","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Rem Impacted Ear Wax Mcr Tech","code_information":[{"code":"710026","type":"CDM"},{"code":"510","type":"RC"},{"code":"69210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Application Of Hand/wrist Cast Tch Mcare","code_information":[{"code":"710158","type":"CDM"},{"code":"510","type":"RC"},{"code":"29085","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Ehrlicha C/anaplasma P Mayo","code_information":[{"code":"4017800","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Prolactin Serum Mayo","code_information":[{"code":"4017666","type":"CDM"},{"code":"300","type":"RC"},{"code":"84146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Co2, Venous","code_information":[{"code":"4011086","type":"CDM"},{"code":"300","type":"RC"},{"code":"82374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"..Protein Urine 24hr","code_information":[{"code":"4010189","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"..Creatinine Urine Random","code_information":[{"code":"4016059","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"..Chloride Urine","code_information":[{"code":"4011232","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"..Creatinine 24hr Urine","code_information":[{"code":"4016133","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"..Creatinine Clearance Urine (24 Hr)","code_information":[{"code":"4016134","type":"CDM"},{"code":"300","type":"RC"},{"code":"82575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Protein Urine Random","code_information":[{"code":"4010303","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Yeast Indentification  Uvmc","code_information":[{"code":"4016029","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"..Folate","code_information":[{"code":"4017615","type":"CDM"},{"code":"300","type":"RC"},{"code":"82746","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Protein Urine 24hr Uvm","code_information":[{"code":"4017708","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Lead Set/disp Ymdlw5sp","code_information":[{"code":"3251711","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Nebulizer/hope #103-11310ea","code_information":[{"code":"3250159","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250159","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Set/smartsite Infusion Taxol","code_information":[{"code":"3251721","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251721","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Cell Marker #1*","code_information":[{"code":"4011078-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Cell Marker #2*","code_information":[{"code":"4011079-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Cell Marker #3*","code_information":[{"code":"4011080-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Cell Marker #4*","code_information":[{"code":"4011081-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Cell Marker #5*","code_information":[{"code":"4011082-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88185","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Fentanyl 12 Mcg/hr Patch","code_information":[{"code":"4077995","type":"CDM"},{"code":"250","type":"RC"},{"code":"78172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":12,"type":"ME"}},{"description":".Charge Herpes Simplex Pcr Mayo","code_information":[{"code":"4018033","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":78,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Commercial","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":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Sodium Bicarbonate 8.4% Syringe (Adult)","code_information":[{"code":"4073188","type":"CDM"},{"code":"636","type":"RC"},{"code":"76329335201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":2801,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":29},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":53},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ed Resp Education For Inhaler Spacer Neb","code_information":[{"code":"40800008","type":"CDM"},{"code":"410","type":"RC"},{"code":"94664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Screw/cancellous 4.0x35mm #207.035","code_information":[{"code":"3256651","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Screw/canc 4.0mmx16mm #207.016","code_information":[{"code":"3256994","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Screw/canc 4.0mmx24mm #207.024","code_information":[{"code":"3256996","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Screw/cancellous 4.0 45mm","code_information":[{"code":"3251939","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Screw/cancellous 4.0x18mm #207.018","code_information":[{"code":"3256619","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Needle/insuff 120mm #C2201","code_information":[{"code":"3259933","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Phosphorus","code_information":[{"code":"4010142","type":"CDM"},{"code":"300","type":"RC"},{"code":"84100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Syphilis Total Ab Reflex Mayo","code_information":[{"code":"4016646","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Charge Mayo Benzo 13 Or More","code_information":[{"code":"4017942","type":"CDM"},{"code":"300","type":"RC"},{"code":"80347","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Giardia  Antigen Stool  Mayo","code_information":[{"code":"4017999","type":"CDM"},{"code":"300","type":"RC"},{"code":"87329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Charge Rrmc Yeast Vitek Id Card","code_information":[{"code":"4017280","type":"CDM"},{"code":"300","type":"RC"},{"code":"87106","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"..Sodium Urine","code_information":[{"code":"4011230","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Capnoline Plus O2 Cannula Adult","code_information":[{"code":"3250731","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Cannula/nasal Co2 Pedi #M2745a","code_information":[{"code":"3259579","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259579","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Pap Thin Layer Screen Dhmc","code_information":[{"code":"4015812-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88142","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":28,"maximum":77,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Ampicillin/sulbactam 3 Gm Vial","code_information":[{"code":"4078319","type":"CDM"},{"code":"636","type":"RC"},{"code":"72485041701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":28,"maximum":2801,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":50},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":52},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Gadoterate Meglumine 0.5 Mmol /Ml (10ml)","code_information":[{"code":"4070183","type":"CDM"},{"code":"255","type":"RC"},{"code":"A9575","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gadoterate Meglumine 0.5 Mmol /Ml (5ml)","code_information":[{"code":"4070159","type":"CDM"},{"code":"255","type":"RC"},{"code":"67684200000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":28,"maximum":2801,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":".Surg Tissue Level Iii Uvmc Chg","code_information":[{"code":"4017921","type":"CDM"},{"code":"310","type":"RC"},{"code":"88304","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Sgpt","code_information":[{"code":"4010152","type":"CDM"},{"code":"300","type":"RC"},{"code":"84460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Glucose, Serum","code_information":[{"code":"4010136","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Nuclear Antigen Antibody","code_information":[{"code":"4011685","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Charge Herpes Simplex Type 2 Ab Igg May","code_information":[{"code":"4015107","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Hepatitis B Core Igm Ab Mayo","code_information":[{"code":"4011236","type":"CDM"},{"code":"300","type":"RC"},{"code":"86705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Glucose, Csf","code_information":[{"code":"4011903","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Glucose Additional Gtt","code_information":[{"code":"4016823","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Glucose Fluids   Uvmc","code_information":[{"code":"4011014","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Charge Rrmc E Test","code_information":[{"code":"4017278","type":"CDM"},{"code":"300","type":"RC"},{"code":"87181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Blood test, clotting time","code_information":[{"code":"4015010","type":"CDM"},{"code":"301","type":"RC"},{"code":"85610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Thrombin Level Uvmc","code_information":[{"code":"4015072","type":"CDM"},{"code":"300","type":"RC"},{"code":"85670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Charge Specimen Concentration Mayo","code_information":[{"code":"4018002","type":"CDM"},{"code":"300","type":"RC"},{"code":"87015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".West Nile Virus Igg  Mayo","code_information":[{"code":"4017607","type":"CDM"},{"code":"300","type":"RC"},{"code":"86789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Rh Typingrrmc*","code_information":[{"code":"4016583","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Blood test, clotting time","code_information":[{"code":"4010173","type":"CDM"},{"code":"301","type":"RC"},{"code":"85610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Retic Count Auto","code_information":[{"code":"4010175","type":"CDM"},{"code":"300","type":"RC"},{"code":"85045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Pad/sensor For Chair Alarm","code_information":[{"code":"3251699","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251699","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Aerochamber Max W/med Mask","code_information":[{"code":"3259061","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259061","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Brace Palumbo Knee Md/sm","code_information":[{"code":"3254932","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Brace Palumbo Knee Xxlrg","code_information":[{"code":"3254934","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Brace Palumbo Large","code_information":[{"code":"3254604","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Mask/therapy Eye #10-08803","code_information":[{"code":"3251678","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":76,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":49},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":28},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Commercial","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":28},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Curette/curved 10mm #21553","code_information":[{"code":"3252454","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252454","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Hand/finger/thumb Orthosis Soft Offshelf","code_information":[{"code":"70165","type":"CDM"},{"code":"290","type":"RC"},{"code":"L3924","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Igg Index Csf Mayo","code_information":[{"code":"4016477","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"..Sodium Urine 24hr","code_information":[{"code":"4010361","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Sed Rate Rrmc","code_information":[{"code":"4017318","type":"CDM"},{"code":"300","type":"RC"},{"code":"85652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Smear For Eosinophils","code_information":[{"code":"4010235","type":"CDM"},{"code":"300","type":"RC"},{"code":"89190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Phosphorus Uvm","code_information":[{"code":"4017689","type":"CDM"},{"code":"300","type":"RC"},{"code":"84100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Immobilizer Knee 22","code_information":[{"code":"3256630","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Spacer Rigid Reclosable Bag","code_information":[{"code":"3251163","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Blade Gigli","code_information":[{"code":"3250515","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Niv Line #M4686a","code_information":[{"code":"3250729","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250729","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Pap Thin Layer Diag Dhmc","code_information":[{"code":"4015813-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88142","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":27,"maximum":75,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Neomycin/polymixin/dex Ophth Oint","code_information":[{"code":"4071828","type":"CDM"},{"code":"250","type":"RC"},{"code":"61314063136","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":27,"maximum":2801,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":51},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Wire/k #292.52","code_information":[{"code":"3250559","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Wire/k #292.56","code_information":[{"code":"3250442","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Sleeve/irragation #Opohf20l","code_information":[{"code":"3250781","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250781","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Tubing/outflo 24k #24k100","code_information":[{"code":"3251093","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Catheter Closed Suction W/ Double Sw","code_information":[{"code":"3700857","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4605","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Cast Sup 1 Leg Splint Ad Fib","code_information":[{"code":"1700082","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4042","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Cult Typ Sero Uvmc","code_information":[{"code":"4010247","type":"CDM"},{"code":"300","type":"RC"},{"code":"87147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Measles Igg Immune  Uvmc","code_information":[{"code":"4010478","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"..Stool Unusual Pathogens Uvmc","code_information":[{"code":"4012255","type":"CDM"},{"code":"300","type":"RC"},{"code":"87046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4011633","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Wire/kirschner #186-004-14","code_information":[{"code":"3251290","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Paraffin Bathot","code_information":[{"code":"4090231-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97018","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Paraffin Bath Mv","code_information":[{"code":"4090604-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97018","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Paraffin Bath","code_information":[{"code":"4090232-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97018","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Paraffin Bath (Bf)","code_information":[{"code":"4090247-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97018","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Pta Paraffin Bath","code_information":[{"code":"4091030-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97018","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":27,"maximum":74,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":48},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":50},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Medical Nutrition Ther Re-assess 15 M","code_information":[{"code":"3090002","type":"CDM"},{"code":"942","type":"RC"},{"code":"97803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Medical Nutrition Therapy Initial Ea 15","code_information":[{"code":"3090001","type":"CDM"},{"code":"942","type":"RC"},{"code":"97802","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Diet Diabetic Ed Indiv 15 Min Ea","code_information":[{"code":"3090093","type":"CDM"},{"code":"942","type":"RC"},{"code":"97803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Medical Nutrition Therapy Initial Ea 15","code_information":[{"code":"3090006","type":"CDM"},{"code":"510","type":"RC"},{"code":"97802","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Charge Specimen Concentration Uvmc","code_information":[{"code":"4010147","type":"CDM"},{"code":"300","type":"RC"},{"code":"87015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Hcg Quant Rrmc","code_information":[{"code":"4017849","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Set Radial Artery Cath","code_information":[{"code":"3251154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Cath/2-way Silicone 16fr/5cc (Urology)","code_information":[{"code":"3251398","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Splint/pedi Wrist Left #22-300220","code_information":[{"code":"3259838","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Splint/pedi Wrist Right #22-300210","code_information":[{"code":"3259837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":73,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Commercial","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":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Clonidine 100 Mcg / Ml (10 Ml) Vial","code_information":[{"code":"4078370","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457021810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":27,"maximum":2801,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":47},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":27},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":49},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Ketamine 200 Mg / 20 Ml (10 Mg/ml)","code_information":[{"code":"4070096","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150043810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":26,"maximum":2801,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Omnipaque 300 Mg/ml (100ml)","code_information":[{"code":"4070089","type":"CDM"},{"code":"255","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Sleeves/sterile #Gmslv001-10","code_information":[{"code":"3259514","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259514","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Phys Exam 12-17 Yrs New Pt Tech Medicare","code_information":[{"code":"710276","type":"CDM"},{"code":"510","type":"RC"},{"code":"99384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Uric Acid","code_information":[{"code":"4010155","type":"CDM"},{"code":"300","type":"RC"},{"code":"84550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Thyroglobulin Ab   Uvmc","code_information":[{"code":"4010531","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Platelet Count","code_information":[{"code":"4010172","type":"CDM"},{"code":"300","type":"RC"},{"code":"85049","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Complement C4","code_information":[{"code":"4011109","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Fungus Isol Cult Uvmc","code_information":[{"code":"4011635","type":"CDM"},{"code":"300","type":"RC"},{"code":"87102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Pack/abd Lithotomy","code_information":[{"code":"3211513","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3211513","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Etoposide 100 Mg Vial","code_information":[{"code":"4073310","type":"CDM"},{"code":"636","type":"RC"},{"code":"16729011431","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":26,"maximum":2801,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Fentanyl 50 Mcg / Ml (50 Ml) *Pca*","code_information":[{"code":"4077784","type":"CDM"},{"code":"636","type":"RC"},{"code":"40990","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Gel Foam/sz 12-7mm","code_information":[{"code":"3250527","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3250527","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Chamber/humidity","code_information":[{"code":"3254734","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254734","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Kit/neo Puff","code_information":[{"code":"3251979","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":72,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Remove Fb Ear Medicare","code_information":[{"code":"710258","type":"CDM"},{"code":"510","type":"RC"},{"code":"69200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"App Short Arm Splint Mcr Tech","code_information":[{"code":"711200","type":"CDM"},{"code":"510","type":"RC"},{"code":"29125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Create Ear Drum Opening, Local Anes Mcr","code_information":[{"code":"710273","type":"CDM"},{"code":"510","type":"RC"},{"code":"69433","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Punch Biopsy Skin Lesion Mcr Tech","code_information":[{"code":"710385","type":"CDM"},{"code":"510","type":"RC"},{"code":"11104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Bone Density Scan Axial Bones","code_information":[{"code":"3281995","type":"CDM"},{"code":"320","type":"RC"},{"code":"77081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Remove Impacted Ear Wax Same Day Audio","code_information":[{"code":"710279","type":"CDM"},{"code":"510","type":"RC"},{"code":"G0268","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Charge Rrmc Bacterial Vaginosis","code_information":[{"code":"4017890","type":"CDM"},{"code":"300","type":"RC"},{"code":"81513","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Cholesterol","code_information":[{"code":"4011990","type":"CDM"},{"code":"300","type":"RC"},{"code":"82465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Sodium Serum","code_information":[{"code":"4010148","type":"CDM"},{"code":"300","type":"RC"},{"code":"84295","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Growth Hormone Mayo","code_information":[{"code":"4010764","type":"CDM"},{"code":"300","type":"RC"},{"code":"83003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4017823","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Uric Acid Random Ua  Uvmc","code_information":[{"code":"4015810","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Cadmium Ur","code_information":[{"code":"4016317","type":"CDM"},{"code":"300","type":"RC"},{"code":"82300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"U/s Stim Needle 22 X 3 1/8","code_information":[{"code":"3700034","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Collar/philadelphia Tall (Lrg)","code_information":[{"code":"3253079","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Sleeve/dema Finger #Nc54024","code_information":[{"code":"3257470","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257470","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Vac Drape #M6275009/10","code_information":[{"code":"3250913","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250913","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":71,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":46},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":26},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":48},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Commercial","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":26},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Surgical Trays Mcr","code_information":[{"code":"710155","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4550","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Electrode Loop 15x12mm","code_information":[{"code":"3700378","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700378","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Leg Bag Holder","code_information":[{"code":"3700241","type":"CDM"},{"code":"999","type":"RC"},{"code":"CP3700241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Cast Sup Long Leg Ped Fib","code_information":[{"code":"1700079","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4032","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Charge Rrmc Presumptive Id Urine","code_information":[{"code":"4017266","type":"CDM"},{"code":"300","type":"RC"},{"code":"87088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Gram Stain (In House)","code_information":[{"code":"4017262","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"..Potassium Urine","code_information":[{"code":"4011231","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Chloride","code_information":[{"code":"4010125","type":"CDM"},{"code":"300","type":"RC"},{"code":"82435","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Bupivacaine 0.25% + Epi 1:200k (50ml)","code_information":[{"code":"4074126","type":"CDM"},{"code":"636","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Tray/mylogram","code_information":[{"code":"3252165","type":"CDM"},{"code":"621","type":"RC"},{"code":"CP3252165","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Tray/circumcision Add-a-clamp","code_information":[{"code":"3254331","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Ortho Fitting/training/fab Per 15min-ot","code_information":[{"code":"4091007-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97760","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Orthotics Fitting & Training/15 Min Mv","code_information":[{"code":"4090611-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97760","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Orthotics Fitting & Training/15 Min","code_information":[{"code":"4090456-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97760","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Electrode/ball B152 #B0512","code_information":[{"code":"3254679","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":70,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":45},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":47},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Needle Ultraplex 360 Echogenic Bev 20gx4","code_information":[{"code":"3700414","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700414","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Trigger Switch & Cord #E0520","code_information":[{"code":"3259984","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Immobilizer Knee 14","code_information":[{"code":"3700729","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Electrode Leep Ball (E15646)","code_information":[{"code":"3700406","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700406","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Electrode/leep 15x12mm","code_information":[{"code":"3700507","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Bilichek","code_information":[{"code":"4030210","type":"CDM"},{"code":"300","type":"RC"},{"code":"88720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"..Psa Screen (Medicare Only)  Mayo","code_information":[{"code":"4017822","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Gentamicin Level Rrmc","code_information":[{"code":"4017313","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Gentamicin Level Peak Rrmc","code_information":[{"code":"4017314","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Gentamicin Level Trough Rrmc","code_information":[{"code":"4017315","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Fce Fit For Duty Per 15 Minutes","code_information":[{"code":"4390311-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":25,"maximum":69,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Amoxicillin / Clavul Susp 600 Mg / 5 Ml","code_information":[{"code":"4078097","type":"CDM"},{"code":"250","type":"RC"},{"code":"16714029401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":2801,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Let (Xap) 3ml","code_information":[{"code":"4077055","type":"CDM"},{"code":"250","type":"RC"},{"code":"70092161243","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":2801,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":3,"type":"ML"}},{"description":"Ear Microscopy Exam Mcare","code_information":[{"code":"710059","type":"CDM"},{"code":"510","type":"RC"},{"code":"92504","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Guide Wire #Ws-1407st","code_information":[{"code":"3259708","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259708","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"U/s Stim Needle 21x2","code_information":[{"code":"3700035","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Crp (Rcrp) Inflammatory","code_information":[{"code":"4012262","type":"CDM"},{"code":"300","type":"RC"},{"code":"86140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Albumin Serum","code_information":[{"code":"4010193","type":"CDM"},{"code":"300","type":"RC"},{"code":"82040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Chlmyd Trach Dna Apt Prob Mayo","code_information":[{"code":"4017845","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".N Gonorrhoeae Dna Amp Prob Mayo","code_information":[{"code":"4017846","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Hep B Surf Ab  Mayo","code_information":[{"code":"4016913","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"..Cpk Isoenzyme Reflex Mayo","code_information":[{"code":"4010116","type":"CDM"},{"code":"300","type":"RC"},{"code":"82550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Parovirus B19 Igg","code_information":[{"code":"4011743","type":"CDM"},{"code":"300","type":"RC"},{"code":"86747","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Parovovirus B19 Igm","code_information":[{"code":"4011744","type":"CDM"},{"code":"300","type":"RC"},{"code":"86747","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"..Wet Prep","code_information":[{"code":"4010108","type":"CDM"},{"code":"300","type":"RC"},{"code":"87210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"..Koh Prep","code_information":[{"code":"4010109","type":"CDM"},{"code":"300","type":"RC"},{"code":"87220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"..Potassium Urine 24hr","code_information":[{"code":"4010259","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Gram Stain Sputum","code_information":[{"code":"4011910","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Gram Stain Stat (Inhouse)","code_information":[{"code":"4012290","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Gram Stain Csf","code_information":[{"code":"4011911","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Sensor/disposable Spo2 #M1134a","code_information":[{"code":"3250741","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250741","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Morphine 250 Mg / 50 Ml (5 Mg/ml) Pca","code_information":[{"code":"4078044","type":"CDM"},{"code":"636","type":"RC"},{"code":"40960","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Cath/steri 16sx #6100-16","code_information":[{"code":"3253886","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253886","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Orthotics Fitting & Training/15 Min(bf)","code_information":[{"code":"4090214-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97760","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":25,"maximum":68,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Commercial","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":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Ciprofloxacin 0.3% Ophth Soln (5 Ml)","code_information":[{"code":"4070025","type":"CDM"},{"code":"250","type":"RC"},{"code":"61314065605","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":2801,"gross_charge":65,"discounted_cash":49,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":44},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":25},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":46},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Dimetapp Pp","code_information":[{"code":"4673985","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ultra Fit Wrist Splint M Rt 8","code_information":[{"code":"3700296","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ultra Fit Wrist Splint S Rt 8","code_information":[{"code":"3700295","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ultra Fit Wrist Splint M Lf 8","code_information":[{"code":"3700301","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ultra Fit Wrist Splint L Rt 8","code_information":[{"code":"3700297","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Conray 60 30ml #0953-13/#0953-23","code_information":[{"code":"32510001","type":"CDM"},{"code":"255","type":"RC"},{"code":"Q9961","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ultra Fit Wrist Splint S Lf 8","code_information":[{"code":"3700300","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ultra Fit Wrist Splint L Lf 8","code_information":[{"code":"3700302","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ultra Fit Wrist Splint Xl Lf 8","code_information":[{"code":"3700303","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ultra Fit Wrist Splint Xl Rt 8","code_information":[{"code":"3700298","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Injection Dmso Dimethyl Sulfoxide","code_information":[{"code":"710049","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1212","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ergonomic Assessment Ea 15 Minutes","code_information":[{"code":"5010022","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Fce Fit For Duty Ea 15 Minutes","code_information":[{"code":"5010018","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Fce Special Purpose Ea 15 Minutes","code_information":[{"code":"5010014","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Fce Upper Extremity Ea 15 Minutes","code_information":[{"code":"5010013","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Key Job Placement Ea 15 Minutes","code_information":[{"code":"5010015","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Upper Extremity Physical Demand Ea 15 Mi","code_information":[{"code":"5010020","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Work Risk Analysis Ea 15","code_information":[{"code":"5010017","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Work Station Evaluation Ea 15 Minutes","code_information":[{"code":"5010011","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Bun","code_information":[{"code":"4010153","type":"CDM"},{"code":"300","type":"RC"},{"code":"84520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Charge Mayo Ref Rpr Titer","code_information":[{"code":"4016079","type":"CDM"},{"code":"300","type":"RC"},{"code":"86593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Apolipoprotein A1 Mayo","code_information":[{"code":"4017894","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Selenium Whole Blood Mayo","code_information":[{"code":"4017962","type":"CDM"},{"code":"300","type":"RC"},{"code":"84255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Testosterone Total  Uvmc","code_information":[{"code":"4012283","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Rapid Hiv-1/2 Ab/ag Needlestick","code_information":[{"code":"4017855","type":"CDM"},{"code":"300","type":"RC"},{"code":"87389","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Brace Ankle Universal 10","code_information":[{"code":"3259244","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Splint Wrist Lft Sm","code_information":[{"code":"3259291","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Screw/cancellous 4.0x22mm #207.022","code_information":[{"code":"3256650","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Gel Foam/sz 50 #323-01","code_information":[{"code":"3253636","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3253636","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Fce Full Body Ea 15 Minutes","code_information":[{"code":"5010012-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97750","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Levonorgestrol 1.5 Mg Oral Tab","code_information":[{"code":"4077418","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180085211","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Empagliflozin 10 Mg Oral Tablet","code_information":[{"code":"4070275","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP4070275","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":67,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydromorphone 10 Mg / Ml Vial (50 Ml)","code_information":[{"code":"4070108","type":"CDM"},{"code":"636","type":"RC"},{"code":"17478054050","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":43},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":45},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Epinephrine 1:10000 Luer-jet Syringe","code_information":[{"code":"4073080","type":"CDM"},{"code":"636","type":"RC"},{"code":"76329331601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Dopamine 800 Mg / D5w 500ml Premix","code_information":[{"code":"4070168","type":"CDM"},{"code":"636","type":"RC"},{"code":"33810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":800,"type":"ME"}},{"description":"Cytopath Cerv/vag Phys Interpretation","code_information":[{"code":"3281774","type":"CDM"},{"code":"311","type":"RC"},{"code":"88141","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Smear Evaluation Diff Physician Ordered","code_information":[{"code":"4016260","type":"CDM"},{"code":"300","type":"RC"},{"code":"85060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Wire/guide .035 #620-120","code_information":[{"code":"3257208","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Cephalexin 250mg Pp","code_information":[{"code":"4671610","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Navigation Spheres","code_information":[{"code":"3700937","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Shave Skin Les 0.5 Cm/< Mcr Tech","code_information":[{"code":"710333","type":"CDM"},{"code":"510","type":"RC"},{"code":"11305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Prealbumin   Uvmc","code_information":[{"code":"4010600","type":"CDM"},{"code":"300","type":"RC"},{"code":"84134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Fibrinogen Rrmc","code_information":[{"code":"4017338","type":"CDM"},{"code":"300","type":"RC"},{"code":"85384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Charge Afb Culture Uvmc","code_information":[{"code":"4016088","type":"CDM"},{"code":"300","type":"RC"},{"code":"87116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Post Glucose Dose 2hr Gt","code_information":[{"code":"4016436","type":"CDM"},{"code":"300","type":"RC"},{"code":"82950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Charge Cortisol Random Urine May","code_information":[{"code":"4017970","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Smear Evaluation Uvmc","code_information":[{"code":"4017909","type":"CDM"},{"code":"300","type":"RC"},{"code":"85060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tray/cath Foley 16fr  6146ll","code_information":[{"code":"3252100","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tray/ct Biopsy","code_information":[{"code":"3257244","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Doxorubicin 50 Mg / 25 Ml","code_information":[{"code":"4073309","type":"CDM"},{"code":"636","type":"RC"},{"code":"69303","type":"CPT","modifier":"220"}],"standard_charges":[{"setting":"outpatient","modifier_code":["220"],"minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Bacitracin-neomycin-polymyxin Ophthalmic","code_information":[{"code":"4079005","type":"CDM"},{"code":"259","type":"RC"},{"code":"24208078055","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Work Station Evaluation Per 15 Minutes","code_information":[{"code":"4390309-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97537","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tray/arthrogram","code_information":[{"code":"3252075","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3252075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":66,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Commercial","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":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Dorzolamide 2% Ophth Sol (10 Ml)","code_information":[{"code":"4077014","type":"CDM"},{"code":"250","type":"RC"},{"code":"42571014126","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Silver Sulfadiazine Cream (50 Gm)","code_information":[{"code":"4072105","type":"CDM"},{"code":"250","type":"RC"},{"code":"67877012450","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vancomycin 1000 Mg / 200 Ml [Premix]","code_information":[{"code":"4070262","type":"CDM"},{"code":"636","type":"RC"},{"code":"70594004203","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Burr/3.0 Mm Round","code_information":[{"code":"3259509","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259509","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Amiodarone 50 Mg / Ml Vial (18 Ml)","code_information":[{"code":"4070084","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457015318","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":2801,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Methylprednisolone 1000 Mg Vial","code_information":[{"code":"4073199","type":"CDM"},{"code":"636","type":"RC"},{"code":"90698","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Electrode Leep 10x8mm","code_information":[{"code":"3700380","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Pouch Sensura Mio Convex Light","code_information":[{"code":"3700362","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Brushes/cytology #60313","code_information":[{"code":"3259637","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259637","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Insole/lg Pressure Relief Pad","code_information":[{"code":"3700759","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700759","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Charge Uvmc Special Stain Ii","code_information":[{"code":"4017939","type":"CDM"},{"code":"310","type":"RC"},{"code":"88313","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Charge Mayo Gliadin Deam Ab Iga","code_information":[{"code":"4010271","type":"CDM"},{"code":"300","type":"RC"},{"code":"86258","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Charge Mayo Gliadin Deam Ab Igg","code_information":[{"code":"4010832","type":"CDM"},{"code":"300","type":"RC"},{"code":"86258","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Ph Fluid Misc Mayo","code_information":[{"code":"4018025","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"..Hcg Quant Uvmc","code_information":[{"code":"4011301","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tray/cath Foley 14fr  6144ll","code_information":[{"code":"3259728","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259728","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Screw/canc 4.0mmx12mm #207.012","code_information":[{"code":"3256992","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Screw/canc 4.0mmx14mm #207.014","code_information":[{"code":"3256993","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Cannula/nasal Co2 Infant #M2746a","code_information":[{"code":"3259580","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259580","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Set/fluid Warmer Standard","code_information":[{"code":"3257858","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Sodium Bicarbonate 8.4% Syringe (Pedi)","code_information":[{"code":"4073200","type":"CDM"},{"code":"250","type":"RC"},{"code":"40966","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":64,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":42},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":24},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":44},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clonidine 0.1 Mg/day (7 Day Patch)","code_information":[{"code":"4074296","type":"CDM"},{"code":"250","type":"RC"},{"code":"54868053701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":23,"maximum":2801,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Splint/universal Wrist Med/lrg 7","code_information":[{"code":"3250457","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Needle Ultraplex 360 Echogenic 22gx3 1/8","code_information":[{"code":"3700412","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700412","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Needle Tuohy Epidural 20gx6","code_information":[{"code":"3700410","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Ova And Parasite Smear Mayo","code_information":[{"code":"4011984","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4011084","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Pertussis Culture Vdhl","code_information":[{"code":"4011244","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"..Ntx Telopeptide Urine Mayo","code_information":[{"code":"4015820","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Igg Serum Mayo","code_information":[{"code":"4016475","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Glucose 2 Hour Post Prandial","code_information":[{"code":"4016229","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Rbc Ag-arc Other Than Abo Or D","code_information":[{"code":"4016107","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Charge Total Testosterone Mayo","code_information":[{"code":"4017926","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Glucose Meter Check Only","code_information":[{"code":"4016050","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Stockings Ted Thigh Lrg","code_information":[{"code":"3253025","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Collector/wound Drainage Med #9702","code_information":[{"code":"3254034","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":63,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Buprenorphine 0.3 Mg / 1 Ml Inj","code_information":[{"code":"4076217","type":"CDM"},{"code":"636","type":"RC"},{"code":"42023017905","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":23,"maximum":2801,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Erythromycin Ophth Oint (3.5 Gm)","code_information":[{"code":"4070030","type":"CDM"},{"code":"250","type":"RC"},{"code":"72485067035","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":23,"maximum":2801,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":41},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":43},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydrocerin Cream (16 Oz)","code_information":[{"code":"4074027","type":"CDM"},{"code":"259","type":"RC"},{"code":"72140000021","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":23,"maximum":2801,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Enoxaparin 150 Mg / Ml Inj","code_information":[{"code":"4077556","type":"CDM"},{"code":"636","type":"RC"},{"code":"95510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Repair Modification Hearing Aid","code_information":[{"code":"702020","type":"CDM"},{"code":"471","type":"RC"},{"code":"V5014","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Conduction","code_information":[{"code":"4080102","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP4080102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Misc Industrial","code_information":[{"code":"4040219","type":"CDM"},{"code":"320","type":"RC"},{"code":"CP4040219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Hfo No Joint Prefabricated","code_information":[{"code":"700910","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Cast Sup Long Arm Ad Fib","code_information":[{"code":"1700073","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4006","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"710070","type":"CDM"},{"code":"301","type":"RC"},{"code":"81001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Medihoney 1.5 Oz Tube","code_information":[{"code":"4070247","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070247","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ra Factor  Uvmc","code_information":[{"code":"4010186","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Charge Rrmc Gram Pos Vitek Id Card","code_information":[{"code":"4017271","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"T3 Free  Uvmc","code_information":[{"code":"4012239","type":"CDM"},{"code":"300","type":"RC"},{"code":"84481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Charge Rrmc Gram Neg Vitek Id Card","code_information":[{"code":"4017269","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Charge Rrmc Neisseria Hemophilus Vitek","code_information":[{"code":"4017273","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Chg Uvmc Homog Tissue For Culture","code_information":[{"code":"4010322","type":"CDM"},{"code":"300","type":"RC"},{"code":"87176","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Charge Rrmc Reference Bacterial Id","code_information":[{"code":"4017288","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rast Milk Ige Mayo","code_information":[{"code":"4010266","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rast Wheat Ige","code_information":[{"code":"4010273","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rast Corn Ige   Mayo","code_information":[{"code":"4016327","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rast Pork Ige Mayo","code_information":[{"code":"4010267","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rast Soybean Ige Mayo","code_information":[{"code":"4010272","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Charge Uvmc Hep B Surf Ag Confirm","code_information":[{"code":"4016254","type":"CDM"},{"code":"300","type":"RC"},{"code":"87341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Medihoney Gel 1.5oz Tube","code_information":[{"code":"3251560","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251560","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Pack/ortho","code_information":[{"code":"3210143","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Pack/laparotomy","code_information":[{"code":"3210140","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210140","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Morphine 1000 Mg / 20 Ml (50 Mg/ml) Vial","code_information":[{"code":"4079144","type":"CDM"},{"code":"636","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Steri Cath 14ga (For Trachs)","code_information":[{"code":"3257356","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257356","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Support/ab Mother-to-be #32505-sm","code_information":[{"code":"3257584","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257584","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Support/ab Mother-to-be No Insert Med","code_information":[{"code":"3257585","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257585","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Support/l-s Elastic Lrg #Uz65980","code_information":[{"code":"3250019","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Support/l-s Elastic Xl #Uz65981","code_information":[{"code":"3250020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":62,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Commercial","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":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Daptomycin 350 Mg Vial","code_information":[{"code":"4070015","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021017915","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":23,"maximum":2801,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":23},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":42},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":350,"type":"ME"}},{"description":"Neomycin/polymixin/dex Ophth Soln (5 Ml)","code_information":[{"code":"4079059","type":"CDM"},{"code":"250","type":"RC"},{"code":"61314063006","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":22,"maximum":2801,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Cardiac Rehab Phase I","code_information":[{"code":"4090466","type":"CDM"},{"code":"943","type":"RC"},{"code":"CP4090466","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Open-end Ureteral Cath 6fr 70cm 0.038","code_information":[{"code":"3700075","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Biopsy Of External Ear","code_information":[{"code":"710281","type":"CDM"},{"code":"510","type":"RC"},{"code":"69100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Endometrial Sample In Conj With Colp Mcr","code_information":[{"code":"710285","type":"CDM"},{"code":"510","type":"RC"},{"code":"58110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cath/ureteral #134106","code_information":[{"code":"3250687","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Ssb La Antibody Mayo","code_information":[{"code":"4010253","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Anti Dnase B Titer Mayo","code_information":[{"code":"4010850","type":"CDM"},{"code":"300","type":"RC"},{"code":"86215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Cyclospora Stain Mayo","code_information":[{"code":"4018001","type":"CDM"},{"code":"300","type":"RC"},{"code":"87207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Rrmc Neisseria Bacticard","code_information":[{"code":"4017274","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Dhmc Tiss Stain 1 Microorg","code_information":[{"code":"4017933","type":"CDM"},{"code":"310","type":"RC"},{"code":"88312","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cath/ureteral Open End 6fr #020116","code_information":[{"code":"3255711","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Support/l-s Elastic Xxl #Uz65982","code_information":[{"code":"3250021","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Thumbkeeper/freedon Sm Lft #5921","code_information":[{"code":"3255035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":61,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":40},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"K-wire Ti 1.6mm #492.16","code_information":[{"code":"3258239","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3258239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"K-wire Ti 1.25mm #492.12","code_information":[{"code":"3259521","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Group (Abo), Blood","code_information":[{"code":"4020104","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Needle Ultraplex 360 Echogenic Bev 22gx2","code_information":[{"code":"3700413","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700413","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Nasopharyngoscopy W/endo Mcr Tech","code_information":[{"code":"710069","type":"CDM"},{"code":"510","type":"RC"},{"code":"92511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cath Foley Coated 2-way 18fr 10ml","code_information":[{"code":"3700957","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4338","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Ebv Anti Vca Igg Mayo","code_information":[{"code":"4015112","type":"CDM"},{"code":"300","type":"RC"},{"code":"86665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Ebv Anti Vca Igm Mayo","code_information":[{"code":"4015113","type":"CDM"},{"code":"300","type":"RC"},{"code":"86665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Assay Of Protein Urine","code_information":[{"code":"4011572","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Gram Stain Uvmc","code_information":[{"code":"4011777","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Aluminum Serum Mayo","code_information":[{"code":"4011717","type":"CDM"},{"code":"300","type":"RC"},{"code":"82108","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Arsenic Charge","code_information":[{"code":"4016314","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Meter/flow Personal Best Peak","code_information":[{"code":"3258185","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258185","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Shoe/darby Postop Mens/lrg","code_information":[{"code":"3253308","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Shoe/darby Postop Womens/lrg","code_information":[{"code":"3253305","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Tray/cath Foley 18fr P5978s","code_information":[{"code":"3253036","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Isovue 300/50ml #131530","code_information":[{"code":"3257010","type":"CDM"},{"code":"636","type":"RC"},{"code":"27013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Brace Speed W/figure 8 Strap Sm","code_information":[{"code":"3258022","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Thumb Spica Left Sm-med","code_information":[{"code":"3255166","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3808","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Belt Active S-i Lrg","code_information":[{"code":"3250490","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Pro-hance 5ml #0270-1111-04","code_information":[{"code":"3251537","type":"CDM"},{"code":"255","type":"RC"},{"code":"A9579","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":60,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":39},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":41},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Co2 Cartridge","code_information":[{"code":"3250921","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Adult Day Transport","code_information":[{"code":"2151003","type":"CDM"},{"code":"549","type":"RC"},{"code":"A0080","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Shoulder Immobilizer","code_information":[{"code":"700903","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Ca Screen Pelvic/breast Exam Mcr Tech","code_information":[{"code":"710048","type":"CDM"},{"code":"510","type":"RC"},{"code":"G0101","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Men's Velcro M","code_information":[{"code":"3700287","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700287","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Men's Velcro L","code_information":[{"code":"3700288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Women's Velcro M","code_information":[{"code":"3700291","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700291","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Men's Velcro S","code_information":[{"code":"3700286","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700286","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Men's Velcro Xl","code_information":[{"code":"3700289","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700289","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Women's Velcro L","code_information":[{"code":"3700292","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700292","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Post-op Shoe Women's Velcro S","code_information":[{"code":"3700290","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700290","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Hearing Aid Check One Ear Tech","code_information":[{"code":"710263","type":"CDM"},{"code":"471","type":"RC"},{"code":"92592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Uvmc Skin Tissue Level 4","code_information":[{"code":"4016994","type":"CDM"},{"code":"310","type":"RC"},{"code":"88305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Volume Measurement Uvmc","code_information":[{"code":"4011277","type":"CDM"},{"code":"300","type":"RC"},{"code":"81050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Charge Rrmc Beta Lactamase","code_information":[{"code":"4017279","type":"CDM"},{"code":"300","type":"RC"},{"code":"87185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Epstein Barr Virus Early Ag Igg Mayo","code_information":[{"code":"4016122","type":"CDM"},{"code":"300","type":"RC"},{"code":"86663","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Tray/lumbar Puncture Adult 4306c","code_information":[{"code":"3252150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Shoe/darby Postop Mens/x-lrg","code_information":[{"code":"3259758","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Rt Sm","code_information":[{"code":"3259121","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Steri-drape 1020","code_information":[{"code":"3253444","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253444","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Rt Md","code_information":[{"code":"3259122","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Lft Lg","code_information":[{"code":"3259118","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Rt Lrg","code_information":[{"code":"3259123","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Lft Md","code_information":[{"code":"3259117","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Lft Sm","code_information":[{"code":"3259116","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Rt Xsm","code_information":[{"code":"3259120","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Rt Xlg","code_information":[{"code":"3259124","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Lft Xlg","code_information":[{"code":"3259119","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Wrist W/abducted Thumb Lft Xsm","code_information":[{"code":"3259115","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Dressing/coflex 2 Layer Compression Sys","code_information":[{"code":"3252012","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6454","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Blood Warmer","code_information":[{"code":"3259370","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259370","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cradles #309","code_information":[{"code":"3259810","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Kit/custom Gi Compliance","code_information":[{"code":"3250486","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250486","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Tissue Stain Ii All Others","code_information":[{"code":"4010409-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88313","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Nicardipine 25 Mg / 10 Ml Vial","code_information":[{"code":"4077703","type":"CDM"},{"code":"636","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":59,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":22},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":40},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Commercial","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":22},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Aminophylline 250 Mg / 10 Ml Inj","code_information":[{"code":"4073011","type":"CDM"},{"code":"636","type":"RC"},{"code":"40959","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Benzocaine 20% Oral Spray","code_information":[{"code":"4077211","type":"CDM"},{"code":"250","type":"RC"},{"code":"28306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Wire Kirschner 1.25x150mm 292.12","code_information":[{"code":"3256609","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Tuohy Epi Needle(pain8009)3.5mm","code_information":[{"code":"3700004","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Injection Plantar Nerve Mcr","code_information":[{"code":"710326","type":"CDM"},{"code":"510","type":"RC"},{"code":"64455","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Suture Pre-cut Vicryl 2-0 12 X 18","code_information":[{"code":"3701027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3701027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Charge Rrmc Gram Neg Urine Id Panel","code_information":[{"code":"4017267","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Occult Blood- Feces","code_information":[{"code":"4010207","type":"CDM"},{"code":"300","type":"RC"},{"code":"82272","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Charge Rrmc Gram Pos Urine Id Panel","code_information":[{"code":"4017270","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Protein, Csf","code_information":[{"code":"4010306","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Protein Total Serum","code_information":[{"code":"4010144","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cort60 Uvmc","code_information":[{"code":"4016676","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Resuscitator/disp Manual","code_information":[{"code":"3258824","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258824","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Immobilizer Knee 19","code_information":[{"code":"3255393","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Maxsorb/sorbsan Dressing Pad 4x8","code_information":[{"code":"3255205","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3255205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":58,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":38},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Diclofenac Sodium 1% Topical Gel (100gm)","code_information":[{"code":"4070201","type":"CDM"},{"code":"250","type":"RC"},{"code":"43598097710","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":2801,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sputum Induction Subsequent","code_information":[{"code":"4170018","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Wrist Splintcarpal Tunnel Splint","code_information":[{"code":"700908","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Whfo W/o Joints","code_information":[{"code":"70145","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3807","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Protector, Heel/elbow","code_information":[{"code":"701160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP701160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Ova And Parasites  Uvmc","code_information":[{"code":"4011731","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Blood test, lipids","code_information":[{"code":"4017352","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"17 Hydroxyprogesterone Mayo","code_information":[{"code":"4011028","type":"CDM"},{"code":"300","type":"RC"},{"code":"83498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"4015011","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cort Baseline Uvmc","code_information":[{"code":"4016674","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Assay Of Ggt Mayo","code_information":[{"code":"4011040","type":"CDM"},{"code":"300","type":"RC"},{"code":"82977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Bilirubin Total Mayo","code_information":[{"code":"4016978","type":"CDM"},{"code":"300","type":"RC"},{"code":"82247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Osmolality Serum Mayo","code_information":[{"code":"4017818","type":"CDM"},{"code":"300","type":"RC"},{"code":"83930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Sgpt Mayo","code_information":[{"code":"4016979","type":"CDM"},{"code":"300","type":"RC"},{"code":"84460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Hepatitis C Aby Rrmc","code_information":[{"code":"4017297","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Heart High-output Nebulizer","code_information":[{"code":"3257598","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257598","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Dressing/optifoam Gentle Sa Sacrum 9x9","code_information":[{"code":"3251218","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cath/steri 14sx","code_information":[{"code":"3253878","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253878","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Splint/bucks Traction Universal","code_information":[{"code":"3259245","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259245","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Stabiblock/et Holder #H84102701","code_information":[{"code":"3259144","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Thumb Spica Left Med","code_information":[{"code":"3255019","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3809","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Brace Soft Ankle W/ Straps L","code_information":[{"code":"3250629","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250629","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Brace Soft Ankle W/ Straps Xl","code_information":[{"code":"3250630","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250630","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Brace Soft Ankle W/ Straps Xs","code_information":[{"code":"3250624","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250624","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Brace Soft Ankle W/straps M","code_information":[{"code":"3250628","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Brace Soft Ankle W/straps S","code_information":[{"code":"3250627","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cath/thoracic 40fr #572586 (Argyle)","code_information":[{"code":"3255590","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255590","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Flange/convex Easi-flex 70mm 14406","code_information":[{"code":"3250343","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Medihoney Dressing 4.3x4.3 #31644","code_information":[{"code":"3251627","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Normal Saline 15cc Vials","code_information":[{"code":"3254459","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254459","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":57,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Lidocaine 2% Viscous Oral Soln (100 Ml)","code_information":[{"code":"4077851","type":"CDM"},{"code":"259","type":"RC"},{"code":"72888012526","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":2801,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Naloxone Nasal Kit","code_information":[{"code":"4078968","type":"CDM"},{"code":"250","type":"RC"},{"code":"51927437700","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":2801,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":37},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":39},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cath/coude 18 0102l-18","code_information":[{"code":"3255669","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255669","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cath/coude 14 #0102l-14","code_information":[{"code":"3259126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Snare/captiflex 27mm","code_information":[{"code":"3258961","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258961","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Charge Rrmc Candida Sp","code_information":[{"code":"4017980","type":"CDM"},{"code":"300","type":"RC"},{"code":"87481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Charge Rrmc Trichomonas Vaginalis","code_information":[{"code":"4017891","type":"CDM"},{"code":"300","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":".Quant Porphy","code_information":[{"code":"4016287","type":"CDM"},{"code":"300","type":"RC"},{"code":"84110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Binder Abd Small  30-45","code_information":[{"code":"3259882","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4467","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cath/ureteral Open End 5fr 70cm #020015","code_information":[{"code":"3253890","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1758","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cath/coude 16  0102l-16","code_information":[{"code":"3255668","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255668","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Cath/coude 20 0102l-20","code_information":[{"code":"3255670","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255670","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Bag Disp Pressure Infusor 500cc","code_information":[{"code":"3250135","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Kit/pentax Valve","code_information":[{"code":"3275612","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3275612","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Posture Sport Medium #25000","code_information":[{"code":"3257340","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Ppd 5tu","code_information":[{"code":"4073020","type":"CDM"},{"code":"259","type":"RC"},{"code":"49281075221","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":2801,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cefazolin  2 Gm / D5w 50 Ml [Premix]","code_information":[{"code":"4078408","type":"CDM"},{"code":"636","type":"RC"},{"code":"26431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":56,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":21},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":38},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":21},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Charcoal-aqueous Activated 25 Gm 120 Ml","code_information":[{"code":"4074421","type":"CDM"},{"code":"250","type":"RC"},{"code":"57405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"Crutch, Underarm, Alum, Pair","code_information":[{"code":"701161","type":"CDM"},{"code":"270","type":"RC"},{"code":"E0114","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Replacement Of G Tube Mcr Tech","code_information":[{"code":"710376","type":"CDM"},{"code":"510","type":"RC"},{"code":"43762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Chlamydia Antibody Igg","code_information":[{"code":"4010538","type":"CDM"},{"code":"300","type":"RC"},{"code":"86631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Charge Thrombin Time Mayo","code_information":[{"code":"4016346","type":"CDM"},{"code":"300","type":"RC"},{"code":"85670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Fentanyl 10 Mcg / Ml (125 Ml) *Pca*","code_information":[{"code":"4077511","type":"CDM"},{"code":"636","type":"RC"},{"code":"40990","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Trace Metal Additive 10 Ml Inj","code_information":[{"code":"4073269","type":"CDM"},{"code":"250","type":"RC"},{"code":"51785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":55,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":36},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":".Chlamydia Ab","code_information":[{"code":"4015948","type":"CDM"},{"code":"300","type":"RC"},{"code":"86631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"No Show Fee","code_information":[{"code":"70122","type":"CDM"},{"code":"999","type":"RC"},{"code":"CP70122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Blade Mcgrath Mac Sz 4","code_information":[{"code":"3700419","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Blade Mcgrath Mac Sz 3","code_information":[{"code":"3700418","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700418","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Needle/tuohy Epidural 22gx3.5 (Pain8013)","code_information":[{"code":"3700519","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Eval Intrnl Device All Pace Sys Tech","code_information":[{"code":"710254","type":"CDM"},{"code":"510","type":"RC"},{"code":"93288","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Tympanometry","code_information":[{"code":"710046","type":"CDM"},{"code":"471","type":"RC"},{"code":"92567","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Cast Sup Sh Leg Splint Ad Fib","code_information":[{"code":"1700084","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4046","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Cortisol Uvmc","code_information":[{"code":"4010526","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Charge Alk Phos Total Mayo","code_information":[{"code":"4016403","type":"CDM"},{"code":"300","type":"RC"},{"code":"84075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Charge Aso Titer Mayo","code_information":[{"code":"4015181","type":"CDM"},{"code":"300","type":"RC"},{"code":"86060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Charge Cryofibrinogen Mayo","code_information":[{"code":"4016923","type":"CDM"},{"code":"300","type":"RC"},{"code":"82585","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Assay Serum Cholinestersae  Mayo","code_information":[{"code":"4017228","type":"CDM"},{"code":"300","type":"RC"},{"code":"82480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Psa Screening (Z12.5) Rrmc","code_information":[{"code":"4017699","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":".Hsv Igg Type 2 Ab","code_information":[{"code":"4016166","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Easy Cap Ii O2 Dectector","code_information":[{"code":"3257175","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Enema Tap/soap Suds Water","code_information":[{"code":"4078435","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":2801,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Collar/stifneck Pedi Select","code_information":[{"code":"3259219","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Omnipaque 300 Mg/ml (50 Ml)","code_information":[{"code":"4070215","type":"CDM"},{"code":"636","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Oxaliplatin 50 Mg Vial","code_information":[{"code":"4077548","type":"CDM"},{"code":"636","type":"RC"},{"code":"61703036318","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":2801,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Thumb Spica Right Sm/med","code_information":[{"code":"3255020","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3808","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Thumbkeeper/right Med #5922","code_information":[{"code":"3256880","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3808","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Support/miracle Knee Universal #6740","code_information":[{"code":"3254935","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Thumbkeeper/freedon Med Lft #5923","code_information":[{"code":"3255037","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Vac Simplace Sm #M6275033","code_information":[{"code":"3259265","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259265","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Gait Training/stairs Per 15 Minutes","code_information":[{"code":"4090253-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97116","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Pta Gait Training/stairs Per 15 Minutes","code_information":[{"code":"4091023-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97116","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Gait Training/stairs Per 15 Minutes (Bf)","code_information":[{"code":"4090201-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97116","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":20,"maximum":54,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Commercial","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":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Propofol 10 Mg / Ml 100ml Vial","code_information":[{"code":"4077420","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323026965","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":2801,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Lidocaine-mpf 1% (30 Ml) Vial","code_information":[{"code":"4070214","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323049207","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":2801,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":35},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":20},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":37},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Cast Sup Gauntlet Ad Fib","code_information":[{"code":"700927","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4014","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Wire Kirschner 1.6x150mm 292.16","code_information":[{"code":"3256600","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Forcep/cold Biopsy","code_information":[{"code":"3258957","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Special Casting Material","code_information":[{"code":"710194","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4590","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Charge Shbg Mayo","code_information":[{"code":"4017927","type":"CDM"},{"code":"300","type":"RC"},{"code":"84270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Splint Finger Small","code_information":[{"code":"3253068","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Binder Abd Xxl  62-73","code_information":[{"code":"3259255","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4467","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Syringe/260ml Multipak #601194","code_information":[{"code":"3254978","type":"CDM"},{"code":"621","type":"RC"},{"code":"A4213","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Support/sport Posture Large #Nc92456","code_information":[{"code":"3258133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Glycopyrrolate 0.2mg/ml (1ml Vial)","code_information":[{"code":"4078592","type":"CDM"},{"code":"636","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Glycopyrrolate 0.2mg/ml (5ml Vial)","code_information":[{"code":"4074161","type":"CDM"},{"code":"636","type":"RC"},{"code":"70700016722","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":19,"maximum":2801,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Phenobarbital 65 Mg / Ml Inj","code_information":[{"code":"4079064","type":"CDM"},{"code":"636","type":"RC"},{"code":"64104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":65,"type":"ME"}},{"description":"Levofloxacin 750 Mg / D5w 150 Ml Premix","code_information":[{"code":"4078009","type":"CDM"},{"code":"636","type":"RC"},{"code":"14393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":53,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":36},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"K-wire","code_information":[{"code":"3252116","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3252116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Diphenhydramine Elixir (Otc)","code_information":[{"code":"4673986","type":"CDM"},{"code":"259","type":"RC"},{"code":"53608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Injection Fee Pb Tech","code_information":[{"code":"710044","type":"CDM"},{"code":"510","type":"RC"},{"code":"96372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Tuohy Epi Needle(pain8008)20x4.5mm","code_information":[{"code":"3700031","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Culture Urine Rrmc","code_information":[{"code":"4017173","type":"CDM"},{"code":"300","type":"RC"},{"code":"87086","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Urinalysis test","code_information":[{"code":"4016139","type":"CDM"},{"code":"301","type":"RC"},{"code":"81003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Psa Total Screening (Z12.5)","code_information":[{"code":"4011085","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Tibc","code_information":[{"code":"4015934","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Urinalysis test","code_information":[{"code":"4010549","type":"CDM"},{"code":"301","type":"RC"},{"code":"81003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4011083","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Surg Tissue Level Ii Uvmc Chg","code_information":[{"code":"4017920","type":"CDM"},{"code":"310","type":"RC"},{"code":"88302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Charge Rrmc Tissue Culture","code_information":[{"code":"4017736","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Sex Hormone Binding Uvmc","code_information":[{"code":"4010256","type":"CDM"},{"code":"300","type":"RC"},{"code":"84270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Flat Drain Bulb Reservoir 100cc","code_information":[{"code":"3250749","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250749","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Brace/wrist Lrg/right 7 -8  #Nc73673-7","code_information":[{"code":"3257490","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Posture Sport Large #25000","code_information":[{"code":"3257341","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Posture Sport Small #25000","code_information":[{"code":"3257339","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Splint/thumb Cc D-ring Lf-xlg #Nc91258","code_information":[{"code":"3258193","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258193","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Splint/thumb Cc D-ring Rt-xsm #Nc91251","code_information":[{"code":"3258194","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Ketorolac 0.5% Ophth Drops (10 Ml)","code_information":[{"code":"4079164","type":"CDM"},{"code":"259","type":"RC"},{"code":"61314012610","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":19,"maximum":2801,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Sodium Bicarbonate 4.2% Infant Abboject","code_information":[{"code":"4074403","type":"CDM"},{"code":"250","type":"RC"},{"code":"40955","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Unlisted Path Proced Rrmc","code_information":[{"code":"4016376-TC","type":"CDM"},{"code":"310","type":"RC"},{"code":"88399","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":19,"maximum":52,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":34},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":35},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Scopolamine 0.33/24hr Patch","code_information":[{"code":"4077128","type":"CDM"},{"code":"250","type":"RC"},{"code":"50742050504","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":19,"maximum":2801,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Followers/heyman 10fr #021110","code_information":[{"code":"3251856","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251856","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Vacurette/berkeley 10mm Straight","code_information":[{"code":"3251949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Instrument Seals Myosure","code_information":[{"code":"32510030","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Heel Wedge","code_information":[{"code":"70172","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Conditioning Play Audiometry Tech","code_information":[{"code":"710265","type":"CDM"},{"code":"471","type":"RC"},{"code":"92593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Hearing Aid Check Both Ears Tech","code_information":[{"code":"710264","type":"CDM"},{"code":"471","type":"RC"},{"code":"92593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Hearing Aid Exam Both Ears Tech","code_information":[{"code":"710262","type":"CDM"},{"code":"471","type":"RC"},{"code":"92591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Hearing Aid Exam One Ear Tech","code_information":[{"code":"710261","type":"CDM"},{"code":"471","type":"RC"},{"code":"92590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Charge Prot Electro Mayo","code_information":[{"code":"4017937","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Chlamydia  Igm Isotype","code_information":[{"code":"4015949","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Hep B Surf Ag Rrmc","code_information":[{"code":"4017296","type":"CDM"},{"code":"300","type":"RC"},{"code":"87340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Hepatitis A Igm Aby Rrmc","code_information":[{"code":"4017293","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Pretreat Ab With  Enz Arc*","code_information":[{"code":"4020149","type":"CDM"},{"code":"300","type":"RC"},{"code":"86971","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Ref Smooth Muscle Ab Titer Uvmc","code_information":[{"code":"4011057","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Urinalysis test","code_information":[{"code":"4011252","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Rubella  Immune Vdhl","code_information":[{"code":"4017186","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Uricult Rrmc","code_information":[{"code":"4017263","type":"CDM"},{"code":"300","type":"RC"},{"code":"87088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Bougie 15frx70cm Introducer","code_information":[{"code":"3250788","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250788","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Cath/3-way 24fr 30cc 0167v24s","code_information":[{"code":"3251695","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Carboplatin 150 Mg Vial","code_information":[{"code":"4074075","type":"CDM"},{"code":"636","type":"RC"},{"code":"70342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Brace Palumbo X-lrg","code_information":[{"code":"3254636","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Brace/palumbo Knee Md/lrg #6528","code_information":[{"code":"3254933","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Stork S'port Lg/xlg #29500lg/xlg","code_information":[{"code":"3257648","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Stork S'port Sm/med #29500s/m","code_information":[{"code":"3257647","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257647","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":51,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":33},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":19},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Commercial","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":19},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Cyclopentolate 1% Ophth Soln (2 Ml)","code_information":[{"code":"4073548","type":"CDM"},{"code":"250","type":"RC"},{"code":"24208073501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Wire/kirschner #186-001-69","code_information":[{"code":"3251291","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Wire/kirschner #186-003-69","code_information":[{"code":"3253326","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Ciprofloxacin 500mg Pp","code_information":[{"code":"4673611","type":"CDM"},{"code":"259","type":"RC"},{"code":"17253","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":". Charge Primidone Mayo","code_information":[{"code":"4017912","type":"CDM"},{"code":"300","type":"RC"},{"code":"80188","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4017698","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Magnesium Sulfate 2 Gm / 50 Ml Ns","code_information":[{"code":"4078342","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021061281","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Omnipaque 240/100ml","code_information":[{"code":"3250974","type":"CDM"},{"code":"636","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Device/drn-tu","code_information":[{"code":"3253288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Drain W/trocar #1500-025-10","code_information":[{"code":"3255621","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Knife/ii 5mm #8065-9215-525-01","code_information":[{"code":"3257232","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Stabilizer/ankle Dynamic Med/l #Gl5755","code_information":[{"code":"3257983","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Electrode With Cord #6050p1","code_information":[{"code":"3255000","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Methotrexate 50 Mg / 2 Ml","code_information":[{"code":"4073319","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457022102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Diltiazem 125 Mg / 25 Ml Vial","code_information":[{"code":"4070137","type":"CDM"},{"code":"636","type":"RC"},{"code":"64192","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":50,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":34},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Lidocaine 2% / Epinephrine 200k (10 Ml)","code_information":[{"code":"4079138","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323048917","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Tropicamide 1% Ophth Soln (15 Ml)","code_information":[{"code":"4076151","type":"CDM"},{"code":"259","type":"RC"},{"code":"70069012101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Oximeter Pedi Pulse Adhesive Sensor","code_information":[{"code":"3700438","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Endotracheal Intro 15 Fr X 70cm","code_information":[{"code":"3700858","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Splint/wrist & Forearm Rt","code_information":[{"code":"3700766","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Urine Microscopic Only","code_information":[{"code":"4010196","type":"CDM"},{"code":"300","type":"RC"},{"code":"81015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Culture Staph Screen Rrmc","code_information":[{"code":"4017255","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Ref Urine Micro","code_information":[{"code":"4016329","type":"CDM"},{"code":"300","type":"RC"},{"code":"81015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Abo-arc* Ii","code_information":[{"code":"4020164","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Phenytoin Rrmc","code_information":[{"code":"4017344","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Rast Salmon Ige  Mayo","code_information":[{"code":"4016963","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Assay Of Mercury","code_information":[{"code":"4016316","type":"CDM"},{"code":"300","type":"RC"},{"code":"83825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Cbc With Manual Diff","code_information":[{"code":"4011893","type":"CDM"},{"code":"300","type":"RC"},{"code":"85007","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Epi/cadd Admin Yellow 105  #21-7324","code_information":[{"code":"3259653","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259653","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Cath/3 Way 22fr 30cc 0167v22s","code_information":[{"code":"3255695","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Splint/youth Wrist Right #22-300310","code_information":[{"code":"3250978","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250978","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Guidelines/ct 7x7.5  #217","code_information":[{"code":"3250844","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250844","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Pca/cadd Use W/syringe 90  #21-7095-24","code_information":[{"code":"3259655","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259655","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Splint/youth Wrist Left #22-300320","code_information":[{"code":"3250977","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":49,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Commercial","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":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Multivitamin Vial (10 Ml)","code_information":[{"code":"4073147","type":"CDM"},{"code":"636","type":"RC"},{"code":"54643564901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Vancomycin 750 Mg / 150 Ml [Premix]","code_information":[{"code":"4070253","type":"CDM"},{"code":"636","type":"RC"},{"code":"70594005603","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"Fentanyl 50 Mcg/hr Patch","code_information":[{"code":"4075037","type":"CDM"},{"code":"250","type":"RC"},{"code":"54868024400","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":18,"maximum":2801,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":32},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":18},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":33},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Psychotherapy 15 Minutes","code_information":[{"code":"4340004","type":"CDM"},{"code":"912","type":"RC"},{"code":"W9172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Sleeve/42  Limb Protection","code_information":[{"code":"3259307","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"5mm Cannula (Sleeve) #C0q10","code_information":[{"code":"3259928","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Dacriose 30ml","code_information":[{"code":"4673449","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Irrigation Of Bladder Simple Mcr Tech","code_information":[{"code":"710023","type":"CDM"},{"code":"510","type":"RC"},{"code":"51700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Electrode/leep Loop 20x10","code_information":[{"code":"3700763","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700763","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"..Dbi Rrmc","code_information":[{"code":"4017831","type":"CDM"},{"code":"300","type":"RC"},{"code":"82248","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"..Tbi Rrmc","code_information":[{"code":"4017830","type":"CDM"},{"code":"300","type":"RC"},{"code":"82247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Tbi Uvmc","code_information":[{"code":"4017828","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4017828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Dbi Uvmc","code_information":[{"code":"4017842","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4017842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Neo Bilirubin Uvmc","code_information":[{"code":"4017833","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP4017833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Dressing/optifoam Gentle Ag Sa 4x4","code_information":[{"code":"3251191","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251191","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Bag Disp Pressure Infusor 1000cc","code_information":[{"code":"3253970","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Device/mucosal Atomization  Mad300","code_information":[{"code":"3250096","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Brace Ankle W/ Strap Lrg","code_information":[{"code":"3251194","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Glove/smart Lrg/lft #Jg510601ll","code_information":[{"code":"3258318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Pin/steinman 2.8x229mm #187-03-69","code_information":[{"code":"3253247","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253247","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Pouch Convex Extended Drainage #14413","code_information":[{"code":"3250638","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250638","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Methylprednisolone 125 Mg Vial","code_information":[{"code":"4073197","type":"CDM"},{"code":"636","type":"RC"},{"code":"90047","type":"CPT","modifier":"27"}],"standard_charges":[{"setting":"outpatient","modifier_code":["27"],"minimum":17,"maximum":48,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":31},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Palonosetron 0.25 Mg / 5 Ml Inj","code_information":[{"code":"4077557","type":"CDM"},{"code":"636","type":"RC"},{"code":"78134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ns + Kcl 40 Meq (1000 Ml)","code_information":[{"code":"4076275","type":"CDM"},{"code":"636","type":"RC"},{"code":"33806","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Inject Skin Lesions </ 7 Mcr Tech","code_information":[{"code":"710374","type":"CDM"},{"code":"510","type":"RC"},{"code":"11900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Prolonged E/m Visit Add-on Mcr Tech","code_information":[{"code":"710393","type":"CDM"},{"code":"510","type":"RC"},{"code":"G2212","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Charge Lyme Igm","code_information":[{"code":"4017878","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"T4 Uvmc","code_information":[{"code":"4011583","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"C3 Complement Uvmc","code_information":[{"code":"4012241","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"C4 Complement Uvmc","code_information":[{"code":"4012242","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Dexamethasone Suppression Test Uvmc","code_information":[{"code":"4011858","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Charge Insulin Total Mayo","code_information":[{"code":"4017969","type":"CDM"},{"code":"300","type":"RC"},{"code":"83527","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Mycoplasma Igg","code_information":[{"code":"4011626","type":"CDM"},{"code":"300","type":"RC"},{"code":"86738","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Mycoplasma Igm","code_information":[{"code":"4011628","type":"CDM"},{"code":"300","type":"RC"},{"code":"86738","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Rast Penicillin G Ige Mayo","code_information":[{"code":"4016518","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Rast Blue Mussell Ige  Mayo","code_information":[{"code":"4016453","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Digoxin Rrmc","code_information":[{"code":"4017343","type":"CDM"},{"code":"300","type":"RC"},{"code":"80162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Rast Penicillin V Ige Mayo","code_information":[{"code":"4016519","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Carcinoembryo Antigen Uvmc","code_information":[{"code":"4010525","type":"CDM"},{"code":"300","type":"RC"},{"code":"82378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Report Lyme Disease Ab W Reflex Uvmc","code_information":[{"code":"4016971","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Lugol's Solution #6064","code_information":[{"code":"3259548","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259548","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Narc/cadd Spike Flow 90  #21-7394-24","code_information":[{"code":"3259654","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259654","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Stablitube #11060","code_information":[{"code":"3257498","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257498","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Hydromorphone 10 Mg / Ml Vial (5 Ml)","code_information":[{"code":"4078091","type":"CDM"},{"code":"636","type":"RC"},{"code":"70301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Paclitaxel 30 Mg / 5 Ml","code_information":[{"code":"4076097","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323076306","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":2801,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Splint/thumb Cc D-ring Lf-med #Nc91254","code_information":[{"code":"3258191","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Brace/swede-o W/knit Tongue/sm Gl60661sm","code_information":[{"code":"3257984","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Brace/wrist Left Med #15393","code_information":[{"code":"3255158","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Brace/wrist Right Sm #15392","code_information":[{"code":"3255162","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255162","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint/thumb Cc D-ring Rt/md #Nc91255","code_information":[{"code":"3258170","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258170","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint/thumb Cc/cmc Lrg/rt #Nc79567","code_information":[{"code":"3258198","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258198","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint/thumb Cc/cmc Med/rt #Nc79565","code_information":[{"code":"3258197","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint/thumb Comfort Cool Lft/md #79564","code_information":[{"code":"3257831","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257831","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint/thumb Comfort Cool Lft/sm #79562","code_information":[{"code":"3257829","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Tray/prudendal Block #4504a","code_information":[{"code":"3252175","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Erythromycin Ophth Oint 1 Gm U/d","code_information":[{"code":"4071817","type":"CDM"},{"code":"259","type":"RC"},{"code":"24208091019","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":2801,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Dextrose Abboject 25%","code_information":[{"code":"4074067","type":"CDM"},{"code":"250","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Charge Lyme Igg","code_information":[{"code":"4017879-59","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Canalith Repositioning Per Day","code_information":[{"code":"4091033-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"95992","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Canalith Repositioning/day Pta","code_information":[{"code":"4091034-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"95992","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Cefazolin 1 Gm/ D5w 50ml [Premix]","code_information":[{"code":"4078905","type":"CDM"},{"code":"250","type":"RC"},{"code":"26431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":47,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Permethrin 1% Cream Rinse","code_information":[{"code":"4073997","type":"CDM"},{"code":"250","type":"RC"},{"code":"63736002403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":2801,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":30},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":32},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Miconazole-7 Vaginal Cream","code_information":[{"code":"4072206","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672203506","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":2801,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Gi Cocktail (45 Ml)","code_information":[{"code":"4079106","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":2801,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":45,"type":"ML"}},{"description":"Dopamine 400 Mg / D5w 250ml Premix","code_information":[{"code":"4073285","type":"CDM"},{"code":"636","type":"RC"},{"code":"40978","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Atropine 1 Mg / 10 Ml Syringe","code_information":[{"code":"4078340","type":"CDM"},{"code":"636","type":"RC"},{"code":"40916","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Wire Kirschner 2.0x150mm 292.20","code_information":[{"code":"3256858","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Guide Wire #292.08","code_information":[{"code":"3251772","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Drain/silicon Round M-l #0070320","code_information":[{"code":"3251103","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Co-trimoxazole Suspension","code_information":[{"code":"4672605","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ambulatory Surgical Boot Each","code_information":[{"code":"700899","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Sed Rate Esr Auto","code_information":[{"code":"4010176","type":"CDM"},{"code":"300","type":"RC"},{"code":"85652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ana Uvmc","code_information":[{"code":"4012236","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Hgb  Blood","code_information":[{"code":"4011643","type":"CDM"},{"code":"300","type":"RC"},{"code":"85018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Hct  Blood","code_information":[{"code":"4011642","type":"CDM"},{"code":"300","type":"RC"},{"code":"85014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Charge Uvmc Ana Titer","code_information":[{"code":"4010851","type":"CDM"},{"code":"300","type":"RC"},{"code":"86039","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Lead Test (Venous) Uvmc","code_information":[{"code":"4011202","type":"CDM"},{"code":"300","type":"RC"},{"code":"83655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Hep A  Ab Reflex To Igm Uvmc","code_information":[{"code":"4011973","type":"CDM"},{"code":"300","type":"RC"},{"code":"86708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Surg Tissue Level I Uvmc Chg","code_information":[{"code":"4017919","type":"CDM"},{"code":"310","type":"RC"},{"code":"88300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Charge Hep A Igm Ab Uvmc","code_information":[{"code":"4017949","type":"CDM"},{"code":"300","type":"RC"},{"code":"83521","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Charge Kappa Light Chains Uvmc","code_information":[{"code":"4017931","type":"CDM"},{"code":"300","type":"RC"},{"code":"83521","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Triglycerides Body Fluid Uvmc","code_information":[{"code":"4010154","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":". Charge Phenobarbital  Mayo","code_information":[{"code":"4017227","type":"CDM"},{"code":"300","type":"RC"},{"code":"80184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Measles Immune Vdhl","code_information":[{"code":"4017184","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Mumps Immune Vdhl","code_information":[{"code":"4017185","type":"CDM"},{"code":"300","type":"RC"},{"code":"86735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Rubella  Igg Ab  Uvmc","code_information":[{"code":"4011689","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4017340","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Purewick Female External Catheter","code_information":[{"code":"3700125","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Stabilizer/ankle Xlg/left #Hf5755","code_information":[{"code":"3258008","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Stabilizer/dynamic Ankle Lft/lrg #Yq5755","code_information":[{"code":"3258399","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258399","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Sulfamethoxazole/trimethoprim 160mg Vl*","code_information":[{"code":"4074406","type":"CDM"},{"code":"250","type":"RC"},{"code":"70395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":46,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Commercial","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":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Glucose Gel 15 Gm Oral","code_information":[{"code":"4077381","type":"CDM"},{"code":"250","type":"RC"},{"code":"38396066375","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":2801,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":17},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":31},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lidocaine 1% Vial (50 Ml)","code_information":[{"code":"4073857","type":"CDM"},{"code":"636","type":"RC"},{"code":"52760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Afo Ankle Gauntlet","code_information":[{"code":"1700010","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Cast Sup Long Arm Ped Fib","code_information":[{"code":"1700074","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4008","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Cast Sup Sh Leg Splint Ped Fib","code_information":[{"code":"1700085","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4048","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":".Chlamydia Pcr Thin Prep Uvmc","code_information":[{"code":"4017826","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Dexamethasone Oral 1 Mg/ml (10 Ml)","code_information":[{"code":"4070036","type":"CDM"},{"code":"636","type":"RC"},{"code":"54317","type":"CPT","modifier":"644"}],"standard_charges":[{"setting":"outpatient","modifier_code":["644"],"minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Vinorelbine 10 Mg / 1 Ml Vial","code_information":[{"code":"4076147","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021020405","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":16,"maximum":2801,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Brace Swede-o Medium #Bu6189m","code_information":[{"code":"3258102","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Stabilizer/ankle Med/rt #Gl5755m/r","code_information":[{"code":"3258007","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Support/ankle Swede-o-universal Sm #6189","code_information":[{"code":"3255008","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Armband Pneumatic Aircast","code_information":[{"code":"3253992","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Splint/thumb Cc D-ring Lf/sml #Nc91252","code_information":[{"code":"3258190","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258190","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Splint/thumb Cc D-ring Lf/xsm #Nc91250","code_information":[{"code":"3258189","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258189","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Splint/thumb Cc D-ring Rt-sml #Nc91253","code_information":[{"code":"3258195","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Morphine Oral Soln 20 Mg / Ml (15 Ml)","code_information":[{"code":"4070243","type":"CDM"},{"code":"250","type":"RC"},{"code":"40680","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Gait Training/stairs Per 15 Minutes Mv","code_information":[{"code":"4090608-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97116","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":16,"maximum":45,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":29},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":30},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Fluticasone Nasal Solution","code_information":[{"code":"4077157","type":"CDM"},{"code":"250","type":"RC"},{"code":"54327","type":"CPT","modifier":"99"}],"standard_charges":[{"setting":"outpatient","modifier_code":["99"],"minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vacurette/curved 8mm #20317","code_information":[{"code":"3256406","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256406","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Venipuncture-collection Of Venous Blood","code_information":[{"code":"4011909","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Urine Pregnancy Test","code_information":[{"code":"710170","type":"CDM"},{"code":"300","type":"RC"},{"code":"81025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Ed Venipuncture Routine","code_information":[{"code":"3230420","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Outpatient Kit Processing","code_information":[{"code":"4017656","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Pack Lap Perineal Surgical Eclipse","code_information":[{"code":"3700381","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700381","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Rfa Grounding Pad","code_information":[{"code":"3700359","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Immuniz Admin 1 Vac Sngl/combo","code_information":[{"code":"710043","type":"CDM"},{"code":"510","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Hep B Surf Ab Uvmc","code_information":[{"code":"4011904","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Wbc, Blood","code_information":[{"code":"4011640","type":"CDM"},{"code":"300","type":"RC"},{"code":"85048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":".Charge Clinical Consult Lupus Mayo","code_information":[{"code":"4010826","type":"CDM"},{"code":"300","type":"RC"},{"code":"85390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":".Carbamazepine Rrmc","code_information":[{"code":"4017346","type":"CDM"},{"code":"300","type":"RC"},{"code":"80156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Rast Macadamia Nut    Mayo","code_information":[{"code":"4016912","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Venipuncture Routine","code_information":[{"code":"4010666","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Pads/disp Perineal Post #10374","code_information":[{"code":"3254639","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254639","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Support/ankle Swede-o-universal Lrg 6189","code_information":[{"code":"3255010","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1902","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Brace Ankle Gameday Lg","code_information":[{"code":"3250828","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Brace Ankle Gameday Md","code_information":[{"code":"3250826","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Brace Ankle Gameday Sm","code_information":[{"code":"3250824","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250824","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Brace Ankle Gameday Xlg","code_information":[{"code":"3250829","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Brace/wrist Short (L)med #Nc14673","code_information":[{"code":"3257255","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Kit/breast Pump Accessory #610-07795","code_information":[{"code":"3255287","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255287","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Gentian Violet 1% (30 Ml)","code_information":[{"code":"4070188","type":"CDM"},{"code":"250","type":"RC"},{"code":"39510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Mupirocin Ointment 2% (22 Gm)","code_information":[{"code":"4075018","type":"CDM"},{"code":"250","type":"RC"},{"code":"93101","type":"CPT","modifier":"42"}],"standard_charges":[{"setting":"outpatient","modifier_code":["42"],"minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Enoxaparin 60 Mg / 0.6 Ml Inj","code_information":[{"code":"4076296","type":"CDM"},{"code":"636","type":"RC"},{"code":"54856","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":44,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":28},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Cyanocobalamin 1000 Mcg / Ml","code_information":[{"code":"4073190","type":"CDM"},{"code":"636","type":"RC"},{"code":"51700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Prochlorperazine Inj 10 Mg / 2 Ml","code_information":[{"code":"4077848","type":"CDM"},{"code":"636","type":"RC"},{"code":"71303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Breast Feeding Education Per 30 Minutes","code_information":[{"code":"3210299","type":"CDM"},{"code":"942","type":"RC"},{"code":"98960","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Suture/5-0 Chromic Gut","code_information":[{"code":"3700929","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Hcv Ab W Reflex To Hcv Rna Pcr Uvmc","code_information":[{"code":"4017010","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Osmolality Serum Rrmc","code_information":[{"code":"4017250","type":"CDM"},{"code":"300","type":"RC"},{"code":"83930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Creatinine Clearance Rrmc","code_information":[{"code":"4017753","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":".Hepatitis B Core Aby Rrmc","code_information":[{"code":"4017294","type":"CDM"},{"code":"300","type":"RC"},{"code":"86704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Prolactin  Uvmc","code_information":[{"code":"4012282","type":"CDM"},{"code":"300","type":"RC"},{"code":"84146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Fine Tip Cautery","code_information":[{"code":"3250089","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Immobilizer/ambulite Sm #3307-03","code_information":[{"code":"3259300","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Solution Acetic Acid 0.25% Irrig 1000 Ml","code_information":[{"code":"3253094","type":"CDM"},{"code":"250","type":"RC"},{"code":"40961","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Immobilizer/ambulite Lrg","code_information":[{"code":"3259302","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Immobilizer/ambulite Med #330704","code_information":[{"code":"3259301","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Immobilizer/ambulite Xlrg #3307-06","code_information":[{"code":"3259303","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Pin/steinman 3.2x229mm #187-04-69","code_information":[{"code":"3255362","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Dibucaine Ointment 60 Gm","code_information":[{"code":"4078908","type":"CDM"},{"code":"259","type":"RC"},{"code":"83581","type":"CPT","modifier":"286"}],"standard_charges":[{"setting":"outpatient","modifier_code":["286"],"minimum":16,"maximum":43,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":16},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":29},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":16},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Urinalysis test","code_information":[{"code":"710042","type":"CDM"},{"code":"301","type":"RC"},{"code":"81003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Debride Nail 6+ Mcr Tech","code_information":[{"code":"710320","type":"CDM"},{"code":"510","type":"RC"},{"code":"11721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Stockinette/impervious #1587","code_information":[{"code":"3258401","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Ultra Cervical Collar 3 1/2  Univ","code_information":[{"code":"3700275","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Pressure Reduction Insolemed","code_information":[{"code":"700921","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3030","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Pressure Reduction Insolesmall","code_information":[{"code":"700919","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3030","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Electrode/short Tip 3fr","code_information":[{"code":"3701139","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701139","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Charge Candida Sp Amplified Probe Uvmc","code_information":[{"code":"4017985","type":"CDM"},{"code":"300","type":"RC"},{"code":"87481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Chlmyd Trach Dna Apt Prob Uvmc","code_information":[{"code":"4017986","type":"CDM"},{"code":"300","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Charge Rrmc Homogenization Tissue","code_information":[{"code":"4017257","type":"CDM"},{"code":"300","type":"RC"},{"code":"87176","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Ammonia Level Uvmc","code_information":[{"code":"4010752","type":"CDM"},{"code":"300","type":"RC"},{"code":"82140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Theophylline Level Uvmc","code_information":[{"code":"4017848","type":"CDM"},{"code":"300","type":"RC"},{"code":"80198","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Hep B Surf Aby Rrmc","code_information":[{"code":"4017295","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".B12 Mayo","code_information":[{"code":"4017760","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"..Vitamin B12 Rrmc","code_information":[{"code":"4017789","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Stapler/skin Proximate+ 35w  Pxw35","code_information":[{"code":"3258003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Endotracheal Tube Fastener 9799","code_information":[{"code":"3250128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Equashield","code_information":[{"code":"4070131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP4070131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Sodium Bicarbonate 0.5 Meq/ml Pf Vl","code_information":[{"code":"4070210","type":"CDM"},{"code":"636","type":"RC"},{"code":"40955","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":42,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":27},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":28},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Electrode/cautery Blade Tip 6.5","code_information":[{"code":"3701138","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Enalaprilat 2.5 Mg / 2 Ml Inj","code_information":[{"code":"4076131","type":"CDM"},{"code":"636","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Calcium Gluconate 1 Gm / 50 Ml (Premix)","code_information":[{"code":"4070164","type":"CDM"},{"code":"250","type":"RC"},{"code":"44567062024","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Latanoprost 0.005% Ophth Soln (2.5 Ml)","code_information":[{"code":"4077008","type":"CDM"},{"code":"250","type":"RC"},{"code":"59762033302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":25,"type":"ML"}},{"description":"Naphazoline / Pheniramine Ophth Soln","code_information":[{"code":"4073595","type":"CDM"},{"code":"250","type":"RC"},{"code":"65008","type":"CPT","modifier":"515"}],"standard_charges":[{"setting":"outpatient","modifier_code":["515"],"minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Epinephrine 1:1000 (1mg/ml)","code_information":[{"code":"4076271","type":"CDM"},{"code":"636","type":"RC"},{"code":"42023015925","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Cast Sup Sh Arm Ped Fib","code_information":[{"code":"700925","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4012","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Evacuator/bard #000451","code_information":[{"code":"3250682","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250682","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Cast Sup Sh Arm Ad Fib","code_information":[{"code":"700923","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4010","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Currette Rigid Curved 12mm","code_information":[{"code":"3700638","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700638","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Currette Rigid Curved 7mm","code_information":[{"code":"3700637","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700637","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Adapter/dyonics 25 Luer To Colder 4","code_information":[{"code":"3259389","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259389","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Ggt Uvmc","code_information":[{"code":"4010190","type":"CDM"},{"code":"300","type":"RC"},{"code":"82977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Charge Mayo Transglt Ab Iga","code_information":[{"code":"4011465","type":"CDM"},{"code":"300","type":"RC"},{"code":"86364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Charge Mayo Transglt Ab Igg","code_information":[{"code":"4011464","type":"CDM"},{"code":"300","type":"RC"},{"code":"86364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Charge Cryoglobulin Mayo","code_information":[{"code":"4016924","type":"CDM"},{"code":"300","type":"RC"},{"code":"82595","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Glucose Fluids  Misc Mayo","code_information":[{"code":"4018026","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Osmolality  Urine Charge","code_information":[{"code":"4016630","type":"CDM"},{"code":"300","type":"RC"},{"code":"83935","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Lyme Antibody Confirmation Uvmc","code_information":[{"code":"4017880","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Hepatitis A Aby Screen Rrmc","code_information":[{"code":"4017292","type":"CDM"},{"code":"300","type":"RC"},{"code":"86708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Charge Herpes Simplex Igg Type 1 Mayo","code_information":[{"code":"4016165","type":"CDM"},{"code":"300","type":"RC"},{"code":"86695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Fsh Serum   Uvmc","code_information":[{"code":"4010507","type":"CDM"},{"code":"300","type":"RC"},{"code":"83001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Luteinizing Hormone Uvmc","code_information":[{"code":"4010516","type":"CDM"},{"code":"300","type":"RC"},{"code":"83002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"..Folate Rrmc","code_information":[{"code":"4017783","type":"CDM"},{"code":"300","type":"RC"},{"code":"82746","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"..Zfolate Mayo","code_information":[{"code":"4017761","type":"CDM"},{"code":"300","type":"RC"},{"code":"82746","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Cannula 7/high Flo","code_information":[{"code":"3250987","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250987","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Irinotecan Hcl 40 Mg / 2ml Vial","code_information":[{"code":"4077139","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323019302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Dynamic Digit Ext Lrg #5499","code_information":[{"code":"3255058","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3929","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Dynamic Digit Ext Med #5498","code_information":[{"code":"3255793","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3929","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Dynamic Digit Ext Xsmall #5473","code_information":[{"code":"3257120","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3929","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Surgifoam 2x6 Cm","code_information":[{"code":"3701084","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Dynamic Digit Ext Small #5497","code_information":[{"code":"3255792","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Protec Si Back/lrg #5629-86-03","code_information":[{"code":"3250488","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250488","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Stabilizer/dynamic Ankle Rt/xlrg #5755xl","code_information":[{"code":"3258618","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Support/elbow Comfort Cool Xl #Nc76551","code_information":[{"code":"3257836","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Wire Guide  #Aw-04018","code_information":[{"code":"3250538","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250538","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Amino Acids 8.5% (500 Ml)","code_information":[{"code":"3252498","type":"CDM"},{"code":"250","type":"RC"},{"code":"40941","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":41,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Commercial","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":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Prednisolone 15 Mg / 5 Ml (60 Ml)","code_information":[{"code":"4078344","type":"CDM"},{"code":"636","type":"RC"},{"code":"42799081501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Enoxaparin 100 Mg / Ml Inj","code_information":[{"code":"4077094","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323056884","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Oxymetazoline Nasal Spray","code_information":[{"code":"4071855","type":"CDM"},{"code":"250","type":"RC"},{"code":"70677103701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":2801,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":26},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":15},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lidocaine / Prilocaine Cream (5 Gm)","code_information":[{"code":"4076024","type":"CDM"},{"code":"636","type":"RC"},{"code":"81033002505","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":14,"maximum":2801,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lidocaine 2% Jelly Syringe (11 Ml)","code_information":[{"code":"4079197","type":"CDM"},{"code":"250","type":"RC"},{"code":"25021067377","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":14,"maximum":2801,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":11,"type":"ML"}},{"description":"Ultra Shoulder Immobilizer M","code_information":[{"code":"3700278","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Ultra Shoulder Immobilizer L","code_information":[{"code":"3700279","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Ultra Shoulder Immobilizer Xl","code_information":[{"code":"3700280","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Ultra Shoulder Immobilizer S","code_information":[{"code":"3700277","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Ultra Shoulder Immobilizer Xs","code_information":[{"code":"3700276","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Sup Sh Leg Ped Fib","code_information":[{"code":"1700081","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4040","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Flu A","code_information":[{"code":"4017872","type":"CDM"},{"code":"300","type":"RC"},{"code":"87400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Uvmc Tissue Decalcification","code_information":[{"code":"4010407","type":"CDM"},{"code":"310","type":"RC"},{"code":"88311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Lead Charge","code_information":[{"code":"4016315","type":"CDM"},{"code":"300","type":"RC"},{"code":"83655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Magnesium Urine","code_information":[{"code":"4016629","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".T3 Total Rrmc","code_information":[{"code":"4017341","type":"CDM"},{"code":"300","type":"RC"},{"code":"84480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Report Hep C Antibody Uvmc","code_information":[{"code":"4016970","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Hsv Ab Screen Igm Eia","code_information":[{"code":"4016099","type":"CDM"},{"code":"300","type":"RC"},{"code":"86694","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Dressing/alginate Ag 4x4.75","code_information":[{"code":"3251363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Salem Sump W/multifunctionport12fr #1210","code_information":[{"code":"3253967","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Prochlorperazine 25 Mg Suppository","code_information":[{"code":"4072224","type":"CDM"},{"code":"250","type":"RC"},{"code":"71301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Immobilizer/knee 14  (P.t.) #Bu62246","code_information":[{"code":"3259545","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint/thumb Comfort Cool Lft/xl #79550","code_information":[{"code":"3250322","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Flu B","code_information":[{"code":"4017873-59","type":"CDM"},{"code":"300","type":"RC"},{"code":"87400","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Generic Orderable Mayo","code_information":[{"code":"919192","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":40,"gross_charge":38,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":27},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Meperidine 50 Mg / Ml Carpuject","code_information":[{"code":"4073580","type":"CDM"},{"code":"636","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"D5w 1/2 Ns + Kcl 20 Meq (1000 Ml)","code_information":[{"code":"4073287","type":"CDM"},{"code":"636","type":"RC"},{"code":"33806","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5w 1/2 Ns + Kcl 40 Meq (1000 Ml)","code_information":[{"code":"4076276","type":"CDM"},{"code":"636","type":"RC"},{"code":"33806","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Tubing/pvc D & C","code_information":[{"code":"3253971","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Paring/cut B9 Hyperkerat Les Mcr Tech","code_information":[{"code":"710340","type":"CDM"},{"code":"510","type":"RC"},{"code":"11056","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Suture/5-0 Plain Gut Pc-1","code_information":[{"code":"3700908","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700908","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Curette Rigid Curved 8mm","code_information":[{"code":"3700444","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700444","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Sup 1 Arm Splint Ped Fib","code_information":[{"code":"1700075","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4020","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Sup 1 Leg Splint Ped Fib","code_information":[{"code":"1700083","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4044","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Sup Sh Arm Splint Ad Fib","code_information":[{"code":"1700076","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4022","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Sup Sh Arm Splint Ped Fib","code_information":[{"code":"1700077","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4024","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Detect Agent Nos Dna Mayo","code_information":[{"code":"4016570","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Anaplasma Dna Probe Mayo","code_information":[{"code":"4016696","type":"CDM"},{"code":"300","type":"RC"},{"code":"87468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Osmolality Urine Rrmc","code_information":[{"code":"4017251","type":"CDM"},{"code":"300","type":"RC"},{"code":"83935","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Mayo Tissue Processing","code_information":[{"code":"4010105","type":"CDM"},{"code":"300","type":"RC"},{"code":"87176","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Valproic Acid Uvmc","code_information":[{"code":"4017624","type":"CDM"},{"code":"300","type":"RC"},{"code":"80164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge B Miyamotoi Detect Pcr Mayo","code_information":[{"code":"4017114","type":"CDM"},{"code":"300","type":"RC"},{"code":"87478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Babesia Microti Pcr Mayo","code_information":[{"code":"4017113","type":"CDM"},{"code":"300","type":"RC"},{"code":"87469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Ehrlic Chaf Dna Mayo","code_information":[{"code":"4017944","type":"CDM"},{"code":"300","type":"RC"},{"code":"87484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Neisseria Gonorrhoeae Pcr Rrmc","code_information":[{"code":"4017742","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Gon Neisseria Pcr Thin Prep Uvmc","code_information":[{"code":"4017827","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Dressing/burn Kit (Deroyal)","code_information":[{"code":"3257102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Screw/cortical 1.5/12mm #2350-042-15","code_information":[{"code":"3253522","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cushion/heel Spur Size-b #Lj6075","code_information":[{"code":"3250831","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3485","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cushion/heel Spur Size-c #2317","code_information":[{"code":"3255051","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3485","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"080317guide Wire #Ws0704st","code_information":[{"code":"3257353","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Hip Kit #A665321","code_information":[{"code":"3258856","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258856","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Prohance 279.3 Mg/ml (5 Ml)","code_information":[{"code":"4070082","type":"CDM"},{"code":"255","type":"RC"},{"code":"27011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":2793,"type":"ME"}},{"description":"Ofloxacin Ophth 0.3% 5ml","code_information":[{"code":"4070002","type":"CDM"},{"code":"250","type":"RC"},{"code":"17478071310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":14,"maximum":2801,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":".Hc Chlamydia Trac By Pcr Thin Prep Dhmc","code_information":[{"code":"4017728-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Hc Neisseria Gon By Pcr Thin Prep Dhmc","code_information":[{"code":"4017763-TC","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT","modifier":"TC"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TC"],"minimum":14,"maximum":38,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":25},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":26},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Aminophylline 500 Mg / 20 Ml","code_information":[{"code":"4079174","type":"CDM"},{"code":"636","type":"RC"},{"code":"40959","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Quease Ease #Qe5-mcp30","code_information":[{"code":"3250966","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Polyethylene Glycol 3350 (119 Grams)","code_information":[{"code":"4078064","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802086801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":14,"maximum":2801,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":119,"type":"GR"}},{"description":"Digoxin 0.5 Mg / 2 Ml Vial","code_information":[{"code":"4073072","type":"CDM"},{"code":"636","type":"RC"},{"code":"78130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Cefazolin 2 Gm / Ns 50ml","code_information":[{"code":"4079010","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4079010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ns + Kcl 20 Meq (1000 Ml)","code_information":[{"code":"4076267","type":"CDM"},{"code":"636","type":"RC"},{"code":"33806","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Hemovac/snyder 400ml #2500-004-10","code_information":[{"code":"3250750","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Oxycodone 5mg 325mg Pp","code_information":[{"code":"4673537","type":"CDM"},{"code":"259","type":"RC"},{"code":"40605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Insrt Temp Bladder Cath Simple Mcr Tech","code_information":[{"code":"710269","type":"CDM"},{"code":"510","type":"RC"},{"code":"51702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Ent Service/procedure Nec Tech","code_information":[{"code":"710222","type":"CDM"},{"code":"510","type":"RC"},{"code":"92700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Suture/774g 6-0 Plain G-1","code_information":[{"code":"3701137","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3701137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charg Gc Amplified Probe Uvmc","code_information":[{"code":"4017983","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Charge Chlmyd Trach Amp Probe Uvmc","code_information":[{"code":"4017982","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Assy Lipoprotein","code_information":[{"code":"4010210","type":"CDM"},{"code":"300","type":"RC"},{"code":"83718","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Rast Eastern Sycamore Ige Mayo","code_information":[{"code":"4010395","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":". Charge Phenytoin Free Mayo","code_information":[{"code":"4018018","type":"CDM"},{"code":"300","type":"RC"},{"code":"80186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":". Charge Phenytoin Total Mayo","code_information":[{"code":"4017226","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Folate Uvmc","code_information":[{"code":"4012277","type":"CDM"},{"code":"300","type":"RC"},{"code":"82746","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Valproic Acid Rrmc","code_information":[{"code":"4017347","type":"CDM"},{"code":"300","type":"RC"},{"code":"80164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Breathing Circuits: Adult Singel Limb","code_information":[{"code":"3256618","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Baseplate/assura Ac #14303","code_information":[{"code":"3259409","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259409","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Insole/viscolas Size-c #Gl6062","code_information":[{"code":"3257957","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Brace Ankle Soft W/ Strap Sm","code_information":[{"code":"3250842","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Tray/laceration Ams-8047","code_information":[{"code":"3253119","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Calcium Chloride Syringe 1 Gm / 10 Ml","code_information":[{"code":"4073041","type":"CDM"},{"code":"636","type":"RC"},{"code":"40949","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":37,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":24},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":14},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":14},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":".Charge Mayo Lyme Ab Immunoblot","code_information":[{"code":"4011104","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cast Sup 1 Arm Splint Ad Fib","code_information":[{"code":"700931","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4018","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Hand Piece (For Leep System) #6040","code_information":[{"code":"3255002","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Drain/pvc Wound Med #1500-22-10","code_information":[{"code":"3250623","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Immobilizer/shoulder Sling Lg","code_information":[{"code":"3700675","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Immobilizer/shoulder Sling Med","code_information":[{"code":"3700671","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Immobilizer/shoulder Sling Sm","code_information":[{"code":"3700676","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Suture/6-0 Prolene Pc-3","code_information":[{"code":"3700910","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Lyme Disease Ab With Reflex Uvmc","code_information":[{"code":"4011229","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Charge Opiate Opioid Analog Mayo","code_information":[{"code":"4017935","type":"CDM"},{"code":"300","type":"RC"},{"code":"80362","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Charge Immunoglobulin A Mayo","code_information":[{"code":"4017991","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Calcium Urine Random Uvmc","code_information":[{"code":"4010302","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Charge Immunoglobulin G Mayo","code_information":[{"code":"4018035","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Charge Immunoglobulin M Mayo","code_information":[{"code":"4018034","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Report Syphilis Serology Igg Ab Mayo","code_information":[{"code":"4016969","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Lr : 1000 Ml","code_information":[{"code":"3252586","type":"CDM"},{"code":"636","type":"RC"},{"code":"33801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Unna-z Comp Bandages","code_information":[{"code":"3255951","type":"CDM"},{"code":"623","type":"RC"},{"code":"A6456","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Vancomycin Oral Susp *Nursing*","code_information":[{"code":"4078163","type":"CDM"},{"code":"250","type":"RC"},{"code":"40943","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lidocaine 2% Jelly Tube (5 Ml)","code_information":[{"code":"4079175","type":"CDM"},{"code":"250","type":"RC"},{"code":"17478071110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Dopamine 400 Mg / 10 Ml Vial","code_information":[{"code":"4078462","type":"CDM"},{"code":"636","type":"RC"},{"code":"40991","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Brace Aircast Ankle Med Rt","code_information":[{"code":"3251869","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Brace Aircast Ankle Sm Lft","code_information":[{"code":"3251867","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Brace Aircast Ankle Sm Rt","code_information":[{"code":"3251868","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cushion/heel Spur Size-b","code_information":[{"code":"3255050","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3485","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cushion/heel Spur Size-d #2318","code_information":[{"code":"3255052","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3485","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Dressing/tegaderm Chg 4x6 1/8  #1659","code_information":[{"code":"3259958","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3259958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Brace Ankle Soft W/ Strap Lg","code_information":[{"code":"3251905","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Brace Ankle Soft W/ Strap Med","code_information":[{"code":"3251193","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251193","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Brace Ankle Soft W/ Strap X- Lg","code_information":[{"code":"3251906","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251906","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cath/epidural Perfix 20gax100cm #333540","code_information":[{"code":"3251622","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Guidelines/ct 4x5  #117","code_information":[{"code":"3250843","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250843","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Hood/7x7 Oxyhood #6007","code_information":[{"code":"3252329","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Splint/wrist Lft/sm  #79-87013","code_information":[{"code":"3251342","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251342","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Splint/wrist Lft/xsm  #79-87012 (Lhc)","code_information":[{"code":"3251653","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251653","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Sulfamethoxazole/trimethoprim 80 Mg Vial","code_information":[{"code":"4070004","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457077805","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Apixaban 5 Mg Tablet","code_information":[{"code":"4079125","type":"CDM"},{"code":"637","type":"RC"},{"code":"30894","type":"CPT","modifier":"31"}],"standard_charges":[{"setting":"outpatient","modifier_code":["31"],"minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Sleeve/34  Limb Protection","code_information":[{"code":"3259306","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259306","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Ibuprofen Susp Dye-free 100mg/5ml120ml","code_information":[{"code":"4075058","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802089726","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Vancomycin Vial 750 Mg","code_information":[{"code":"4070344","type":"CDM"},{"code":"636","type":"RC"},{"code":"40965","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":36,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":25},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"Fentanyl 500 Mcg / 10 Ml Vial","code_information":[{"code":"4070251","type":"CDM"},{"code":"636","type":"RC"},{"code":"40990","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Cast Sup Sh Arm Ped Pl","code_information":[{"code":"700924","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4011","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Hw-immuno Flu","code_information":[{"code":"5010006","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cast Sup Gauntlet Ped Fib","code_information":[{"code":"700929","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4016","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Digital Rectal Exam Mcr Tech","code_information":[{"code":"710068","type":"CDM"},{"code":"510","type":"RC"},{"code":"G0102","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Charge Mayo Sed Hypnotic","code_information":[{"code":"4017943","type":"CDM"},{"code":"300","type":"RC"},{"code":"80368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Ab Idselected Rgt Cell Arc*","code_information":[{"code":"4016131","type":"CDM"},{"code":"300","type":"RC"},{"code":"86885","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Calcium Urine","code_information":[{"code":"4016626","type":"CDM"},{"code":"300","type":"RC"},{"code":"82340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Report Varicella Zoster Igg Ab Uvmc","code_information":[{"code":"4016967","type":"CDM"},{"code":"300","type":"RC"},{"code":"86787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Dressing/optifoam Gentle Sa Sacrum 7x7","code_information":[{"code":"3251217","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Belt Si Large","code_information":[{"code":"3256392","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0621","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Pad/stabilization #08200r","code_information":[{"code":"3256884","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Ketamine 50 Mg / 5 Ml Syringe","code_information":[{"code":"4070184","type":"CDM"},{"code":"250","type":"RC"},{"code":"70092111944","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Lidocaine Abboject 100 Mg","code_information":[{"code":"4073126","type":"CDM"},{"code":"636","type":"RC"},{"code":"40913","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":35,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":23},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":24},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lubricant Ophth Ointment (3.5 Gm)","code_information":[{"code":"4076038","type":"CDM"},{"code":"250","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Artificial Tears Ophth Soln","code_information":[{"code":"4071838","type":"CDM"},{"code":"250","type":"RC"},{"code":"57896018105","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Chloride Urine","code_information":[{"code":"4016627","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":".Phosphorus Urine","code_information":[{"code":"4010413","type":"CDM"},{"code":"300","type":"RC"},{"code":"84105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Irrig Sod Chl 2000cc","code_information":[{"code":"3252311","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252311","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Irrig Sod Chl 3000cc","code_information":[{"code":"3253653","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253653","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Collar/stifneck Adjustable To 4 Szs","code_information":[{"code":"3257390","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Unna Boot 4 X10","code_information":[{"code":"3259170","type":"CDM"},{"code":"623","type":"RC"},{"code":"A6456","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Drain Penrose Lf 1/2x12","code_information":[{"code":"3251750","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Drain Penrose Lf 1/2 X 18 #Gr203","code_information":[{"code":"3251755","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251755","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Esophageal/rectal Temp Probe #21090a","code_information":[{"code":"3259584","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259584","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Binder Abd Lg/xl 46-62","code_information":[{"code":"3255976","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4467","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Collar/pedi Philadelphia","code_information":[{"code":"3253080","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cath/thoracic 28frx20  570549 (Argyle)","code_information":[{"code":"3253929","type":"CDM"},{"code":"270","type":"RC"},{"code":"C1729","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Caffeine Citrate 60mg/3ml Vial*","code_information":[{"code":"407006","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150018703","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Cath/thoracic 20frx20  #570523 (Argyle)","code_information":[{"code":"3253930","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cath/thoracic 24frx20  570531 (Argyle)","code_information":[{"code":"3253383","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cath/thoracic 32frx20  #570556 (Argyle)","code_information":[{"code":"3250600","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Cath/thoracic 36fr 572578 (Argyle)","code_information":[{"code":"3255589","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Tube/nasal Rae Endo 6.5 C #43162-765","code_information":[{"code":"3253606","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253606","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Tpn Electrolytes 20 Ml Inj","code_information":[{"code":"4073222","type":"CDM"},{"code":"250","type":"RC"},{"code":"40957","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Ephedrine 50 Mg / Ml","code_information":[{"code":"4073079","type":"CDM"},{"code":"636","type":"RC"},{"code":"65219025700","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":2801,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Ns Mini Bag Plus (50 Ml)","code_information":[{"code":"4076067","type":"CDM"},{"code":"250","type":"RC"},{"code":"33805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":34,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":22},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":13},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":23},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":13},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Ketamine 500 Mg / 5 Ml (100 Mg / Ml)","code_information":[{"code":"4070234","type":"CDM"},{"code":"250","type":"RC"},{"code":"40920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Lidocaine 4% Topical Cream (5 Gm)","code_information":[{"code":"4077853","type":"CDM"},{"code":"250","type":"RC"},{"code":"49608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Capsaicin Cream 0.025% 60 Gm","code_information":[{"code":"4078071","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268019560","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Labetalol 5 Mg / Ml Vial (4 Ml)","code_information":[{"code":"4070161","type":"CDM"},{"code":"636","type":"RC"},{"code":"36000032001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Sleeve/24  Limb Protection","code_information":[{"code":"3259427","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Indwelling Catheter Mcr","code_information":[{"code":"701210","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP701210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Suture/4-0 Prolene Ps-2","code_information":[{"code":"3700909","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700909","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Indwelling Catheter","code_information":[{"code":"730286","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4340","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"710129","type":"CDM"},{"code":"301","type":"RC"},{"code":"81000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Prot Electropheresis Serum Chg Uvmc","code_information":[{"code":"4011863","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Charge Hep A Igm Ab Uvmc","code_information":[{"code":"4016092","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Rast House Dust Mites D F Mayo","code_information":[{"code":"4010284","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Sulfate  Urine","code_information":[{"code":"4016637","type":"CDM"},{"code":"300","type":"RC"},{"code":"84392","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Urea Nitrogen Urine","code_information":[{"code":"4017746","type":"CDM"},{"code":"300","type":"RC"},{"code":"84540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".B12 Uvmc","code_information":[{"code":"4012276","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Vancomycin Trough Rrmc","code_information":[{"code":"4017884","type":"CDM"},{"code":"300","type":"RC"},{"code":"80202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Vancomycin Level Rrmc","code_information":[{"code":"4017888","type":"CDM"},{"code":"300","type":"RC"},{"code":"80202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Kit/mri Injection Syringe","code_information":[{"code":"3251714","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251714","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Irrig Water 1000cc Ster","code_information":[{"code":"3253441","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253441","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Cath Foley 100 Percent Silicone 14fr 5cc","code_information":[{"code":"3251650","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Supporter/atheletic Xxlarge","code_information":[{"code":"3250539","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250539","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Brace Aircast Ankle Lg Lft","code_information":[{"code":"3251872","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Brace Aircast Ankle Lg Rt","code_information":[{"code":"3251871","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Rt/med #Nc52965","code_information":[{"code":"3258145","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Drain Penrose Lf 3/4 X 18","code_information":[{"code":"3251765","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251765","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"E.i.d. 100 Syringe","code_information":[{"code":"3258386","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Eclipse Tennis Elbow Strap","code_information":[{"code":"3251079","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Lft/lg #Nc52966","code_information":[{"code":"3258146","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Lft/md #Nc52964","code_information":[{"code":"3258144","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Lft/sm #Nc52962","code_information":[{"code":"3258142","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Lft/xsm #Nc52960","code_information":[{"code":"3258245","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258245","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Rt/lg #Nc52967","code_information":[{"code":"3258147","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Rt/sm #Nc52963","code_information":[{"code":"3258143","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Rt/xlg #Nc52969","code_information":[{"code":"3258149","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist D-ring Cc Rt/xsm #Nc52961","code_information":[{"code":"3258244","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist Lft/md  #79-87015","code_information":[{"code":"3251313","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251313","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/wrist Rt/xsm  #79-87002 (Lhc)","code_information":[{"code":"3251654","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251654","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Diltiazem 50 Mg / 10 Ml Vial","code_information":[{"code":"4070003","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Piperacillin/tazobactam 4.5 Gm Vial","code_information":[{"code":"4078455","type":"CDM"},{"code":"636","type":"RC"},{"code":"78192","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Acetaminophen Susp 160 Mg / 5 Ml (120ml)","code_information":[{"code":"4072704","type":"CDM"},{"code":"250","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":33,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Calcium Gluconate 4.65 Meq(1000 Mg)/10ml","code_information":[{"code":"4073042","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323031119","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Enoxaparin 80 Mg / 0.8 Ml Inj","code_information":[{"code":"4077078","type":"CDM"},{"code":"636","type":"RC"},{"code":"16714003610","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Electrode/standard Blade #0012","code_information":[{"code":"3259759","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259759","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Immobilizer/shoulder Sling Xl","code_information":[{"code":"3700677","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3670","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Skin Sensor Probe","code_information":[{"code":"3700101","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Leg Bag Holder Carepocket","code_information":[{"code":"701044","type":"CDM"},{"code":"274","type":"RC"},{"code":"A4334","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Vitamin B12","code_information":[{"code":"4017616","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4017819","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Cystic Fibrosis Resp Culture Uvmc","code_information":[{"code":"4017308","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":".Ferritin Rrmc","code_information":[{"code":"4017700","type":"CDM"},{"code":"300","type":"RC"},{"code":"82728","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"C-reactive Protien High Sens Rrmc","code_information":[{"code":"4017747","type":"CDM"},{"code":"300","type":"RC"},{"code":"86141","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Atomizer/ Lary-trach-mucosal","code_information":[{"code":"3259173","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Tube/oral Rae Endo 6.0 Uc #43162-060","code_information":[{"code":"3253603","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253603","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Gi Cocktail (240 Ml)","code_information":[{"code":"4078920","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":240,"type":"ML"}},{"description":"Doxorubicin 10 Mg / 5 Ml","code_information":[{"code":"4073307","type":"CDM"},{"code":"636","type":"RC"},{"code":"69303","type":"CPT","modifier":"20"}],"standard_charges":[{"setting":"outpatient","modifier_code":["20"],"minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Vincristine 2 Mg Vial","code_information":[{"code":"4074228","type":"CDM"},{"code":"636","type":"RC"},{"code":"61703030916","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Bag Bile Bardic W Straps","code_information":[{"code":"3251345","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251345","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Dressing/optifoam Non-adhesive 4 X4","code_information":[{"code":"3252058","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Pouch/ac Urostomy 50mm Red #14554","code_information":[{"code":"3259567","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/thumb Comfort Cool Lft/lg #79566","code_information":[{"code":"3257833","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/thumb Comfort Cool Rt/lrg #79567","code_information":[{"code":"3257834","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257834","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/thumb Comfort Cool Rt/med #79565","code_information":[{"code":"3257832","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Splint/thumb Comfort Cool Rt/sm #79563","code_information":[{"code":"3257830","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Tube/nasal Rae Endo 5.5","code_information":[{"code":"3257823","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257823","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Hydromorphone 0.5 Mg / 0.5 Ml Syringe","code_information":[{"code":"4079166","type":"CDM"},{"code":"636","type":"RC"},{"code":"40942","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":32,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Commercial","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":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Esmolol 100 Mg Vial","code_information":[{"code":"4074174","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457018210","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":12,"maximum":2801,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":21},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":12},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":22},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Clotrimazole 1% Cream [15 Gm]","code_information":[{"code":"4072056","type":"CDM"},{"code":"250","type":"RC"},{"code":"53612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ketorolac 30 Mg / Ml Vial","code_information":[{"code":"4074390","type":"CDM"},{"code":"636","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Penicillin Vk Susp 250 Mg / 5 Ml (100ml)","code_information":[{"code":"4072706","type":"CDM"},{"code":"250","type":"RC"},{"code":"93412","type":"CPT","modifier":"573"}],"standard_charges":[{"setting":"outpatient","modifier_code":["573"],"minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Finger Splint Static","code_information":[{"code":"700954","type":"CDM"},{"code":"270","type":"RC"},{"code":"Q4049","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Hiv 1 & 2 Antigen Antibody Uvmc","code_information":[{"code":"4017290","type":"CDM"},{"code":"300","type":"RC"},{"code":"87389","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Ferritin","code_information":[{"code":"4012263","type":"CDM"},{"code":"300","type":"RC"},{"code":"82728","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Hiv Ab Screen Obsolete","code_information":[{"code":"4012234","type":"CDM"},{"code":"300","type":"RC"},{"code":"87389","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Salem Sump/wmutifunctionport18fr","code_information":[{"code":"3252290","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252290","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Salem Sump W/ Multifunctionport16fr","code_information":[{"code":"3252285","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252285","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Suction Cautery/10fr Strl Disp #E2505-10","code_information":[{"code":"3255188","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Salem Sump W/multifunctionport 14fr","code_information":[{"code":"3253660","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253660","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Tube/salem Sump W/gientri Port 10fr","code_information":[{"code":"3253874","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Vincristine 1 Mg Vial","code_information":[{"code":"4070048","type":"CDM"},{"code":"636","type":"RC"},{"code":"61703030926","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Baseplate/assura #14302","code_information":[{"code":"3259297","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259297","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Drain Penrose Lf 1 X 18","code_information":[{"code":"3251770","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251770","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Drain/flat Bifircated #2540-018-10","code_information":[{"code":"3253697","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253697","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Mobilizer/patella Medium","code_information":[{"code":"3257161","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Port Gi Entri #771111","code_information":[{"code":"3251679","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Tube/oral Rae Endo 4.0 C","code_information":[{"code":"3251706","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251706","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Dextrose 50%:(tpn)","code_information":[{"code":"3253092","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":31,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":20},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":21},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clindamycin 900 Mg / D5w 50 Ml Premix","code_information":[{"code":"4077029","type":"CDM"},{"code":"250","type":"RC"},{"code":"43066099524","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":900,"type":"ME"}},{"description":"Ketamine 500 Mg / 10 Ml (50 Mg/ml)","code_information":[{"code":"4078990","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150043910","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Heparin 25,000 Units / 500 Ml 0.45%","code_information":[{"code":"4076114","type":"CDM"},{"code":"636","type":"RC"},{"code":"40931","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Adult Day Transport Moderate Needs","code_information":[{"code":"2151009","type":"CDM"},{"code":"549","type":"RC"},{"code":"A0080","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Incontinence Supply, Misc","code_information":[{"code":"710280","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4335","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Removal Of Nail Plate Ea Add'l Mcr Tech","code_information":[{"code":"710601","type":"CDM"},{"code":"510","type":"RC"},{"code":"11732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Cryptosporidium Ag Chg Uvmc","code_information":[{"code":"4011539","type":"CDM"},{"code":"300","type":"RC"},{"code":"87272","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Calcium","code_information":[{"code":"4010121","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Sodium  Urine","code_information":[{"code":"4016636","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Uric Acid  Urine","code_information":[{"code":"4016638","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Rast White Ash Mayo","code_information":[{"code":"4016992","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Rast White Hickory Mayo","code_information":[{"code":"4016991","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Giardia Antgen By Immunofluor Chg Uvmc","code_information":[{"code":"4010145","type":"CDM"},{"code":"300","type":"RC"},{"code":"87269","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Holder/dale Nasal Dressing","code_information":[{"code":"3257313","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257313","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Cath Foley 2 Way 16fr 5cc 33616","code_information":[{"code":"3251298","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251298","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Cozi Univ Lumbar Support Xs #650280-100","code_information":[{"code":"3258628","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Electrode/hex Blade 1  #E1551x","code_information":[{"code":"3256962","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Kit/pedi Urine Cath 5fr","code_information":[{"code":"3259983","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Pack/cold Oversize (P.t.)","code_information":[{"code":"3254949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Splint/thumb Cc D-ring Rt-xlg #Nc91259","code_information":[{"code":"3258196","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Spur/heel W/removable Plug Sm","code_information":[{"code":"3250701","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Support/ab Mother-to-be No Insert Lrg","code_information":[{"code":"3257586","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257586","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Support/elbow Comfort Cool Lrg #79542","code_information":[{"code":"3257837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Support/elbow Comfort Cool Sm #79540","code_information":[{"code":"3257835","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257835","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Support/elbow Comfort Cool Xlg #79543","code_information":[{"code":"3257838","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Wrap/open Elbow C.c. Med #Nc79541","code_information":[{"code":"3259492","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Wrap/performance","code_information":[{"code":"3256288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Estrogens Conjugated 0.625 Mg Oral*","code_information":[{"code":"4071359","type":"CDM"},{"code":"259","type":"RC"},{"code":"46110","type":"CPT","modifier":"281"}],"standard_charges":[{"setting":"outpatient","modifier_code":["281"],"minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":625,"type":"ME"}},{"description":"Bss Solution 500 Ml","code_information":[{"code":"3258695","type":"CDM"},{"code":"250","type":"RC"},{"code":"65079","type":"CPT","modifier":"550"}],"standard_charges":[{"setting":"outpatient","modifier_code":["550"],"minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Clotrimazole 1% Topical Solution [30 Ml]","code_information":[{"code":"4077960","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672126003","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Hot Packs/cold Packs Mv","code_information":[{"code":"4090618-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97010","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":11,"maximum":30,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Zoledronic Acid 4 Mg Vial","code_information":[{"code":"4077413","type":"CDM"},{"code":"636","type":"RC"},{"code":"55111068507","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Miconazole 2% Powder","code_information":[{"code":"4077493","type":"CDM"},{"code":"250","type":"RC"},{"code":"10135072085","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Povidone Iodine Soln 10% (16 Oz)","code_information":[{"code":"4073881","type":"CDM"},{"code":"250","type":"RC"},{"code":"49348062238","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Povidone Iodine Scrub (16 Oz)","code_information":[{"code":"4073882","type":"CDM"},{"code":"259","type":"RC"},{"code":"67618015017","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Piperacillin/tazobactam 2.25 Gm Vial","code_information":[{"code":"4077735","type":"CDM"},{"code":"636","type":"RC"},{"code":"78133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Biotene Moisturizing Mouth Spray","code_information":[{"code":"4079032","type":"CDM"},{"code":"250","type":"RC"},{"code":"48582000155","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":2801,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Smear Stain & Interpret Wet","code_information":[{"code":"710128","type":"CDM"},{"code":"300","type":"RC"},{"code":"87210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Vacurette 6mm #21665","code_information":[{"code":"3259715","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259715","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Vacurette 7mm #21744","code_information":[{"code":"3259716","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259716","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"..Transferrin Rrmc","code_information":[{"code":"4017702","type":"CDM"},{"code":"300","type":"RC"},{"code":"84466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".T4 Total Rrmc","code_information":[{"code":"4017339","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Charge Uvmc Flow Cyto Cell Srf Mark","code_information":[{"code":"4011794","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Charge Uvmc Flow Cytometry First Marker","code_information":[{"code":"4017035","type":"CDM"},{"code":"310","type":"RC"},{"code":"88184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Potassium  Urine","code_information":[{"code":"4016633","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Rast Lamb Quarter Mayo","code_information":[{"code":"4010292","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4017757","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Rast House Dust Mites D P Mayo","code_information":[{"code":"4010285","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Id And Sens Blood Rrmc","code_information":[{"code":"4017243","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Free T4 Rrmc","code_information":[{"code":"4017696","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Id & Sens Rrmc Test","code_information":[{"code":"4017979","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Stapler Precise Disposable","code_information":[{"code":"3257043","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Powerloc Safety Inf 20ga X .75","code_information":[{"code":"3259889","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259889","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Tube/oral Rae Endo 5.0 C","code_information":[{"code":"3251704","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251704","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Leg Bag Lg With Easy-tap","code_information":[{"code":"3251884","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Pad/pedi Grounding E7510","code_information":[{"code":"3250853","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250853","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Insoles/visco-elastic Size-a #2300","code_information":[{"code":"3254923","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Kit/pedi Nasal Washing #Rsv1525","code_information":[{"code":"3257820","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Splint/thumb Cc D-ring Lf-lrg #Nc91256","code_information":[{"code":"3258192","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258192","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Splint/thumb Cc D-ring Rt Lg","code_information":[{"code":"3258169","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258169","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Splint/universal Wrist Xlrg 10","code_information":[{"code":"3250314","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Spur/heel W/removable Plug Lrg","code_information":[{"code":"3250703","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250703","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Spur/heel W/removable Plug Med","code_information":[{"code":"3250702","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Hydrocortisone 1% Cream","code_information":[{"code":"4072038","type":"CDM"},{"code":"250","type":"RC"},{"code":"53612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":29,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":19},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":11},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":20},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":11},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Pku (Newborn)","code_information":[{"code":"4010225","type":"CDM"},{"code":"300","type":"RC"},{"code":"84030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Diphenhydramine 50mg/ml Inj","code_information":[{"code":"4673031","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paring/cut B9 Hyperkerat Les Mcr Tech","code_information":[{"code":"710327","type":"CDM"},{"code":"510","type":"RC"},{"code":"11055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Catheter Thoracic 12frx20in","code_information":[{"code":"3700339","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1729","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Catheter Thoracic 16frx20in","code_information":[{"code":"3700340","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1729","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Worm Id Uvmc","code_information":[{"code":"4010532","type":"CDM"},{"code":"300","type":"RC"},{"code":"87169","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Rast Mugwort Ige Mayo","code_information":[{"code":"4011850","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Arthropod Id Uvmc","code_information":[{"code":"4016197","type":"CDM"},{"code":"300","type":"RC"},{"code":"87168","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":".Charge Rrmc Tibc","code_information":[{"code":"4017704","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dakins Solution 0.5%","code_information":[{"code":"4070135","type":"CDM"},{"code":"259","type":"RC"},{"code":"43609","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":28,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lidocaine 2% Jelly Syringe (10 Ml)","code_information":[{"code":"4074254","type":"CDM"},{"code":"250","type":"RC"},{"code":"76329301305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Meropenem 1000 Mg Vial","code_information":[{"code":"4077575","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323050830","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":18},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":19},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Acetaminophen Vial 1 Gm (Npo & Npr Only)","code_information":[{"code":"4078345","type":"CDM"},{"code":"636","type":"RC"},{"code":"24201011001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Oseltamivir 75 Mg Oral Cap","code_information":[{"code":"4077637","type":"CDM"},{"code":"637","type":"RC"},{"code":"52745","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Oxycodone Er 10 Mg Oral Tab","code_information":[{"code":"4077044","type":"CDM"},{"code":"637","type":"RC"},{"code":"59011041010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Oxygen Therapy Hours","code_information":[{"code":"4170010","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP4170010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Curette/curved 9mm #21552","code_information":[{"code":"3252453","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252453","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Curette/curved 11mm","code_information":[{"code":"3250263","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250263","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Curette/curved 7mm #21853","code_information":[{"code":"3256407","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Electrode/standard Blade X-long","code_information":[{"code":"3250359","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Amoxicillin 250mg Pp","code_information":[{"code":"4671609","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Guaifenesin W/codeine 4oz","code_information":[{"code":"4672687","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Sleeve/18  Limb Protection Sleeve","code_information":[{"code":"3259398","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Electrode/needle #E1552","code_information":[{"code":"3254511","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254511","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Powerloc Safety Inf  20ga X  1","code_information":[{"code":"3259890","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259890","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Lft Xs","code_information":[{"code":"3700299","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Rt Xs","code_information":[{"code":"3700294","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Service Charge Unpaid Copay","code_information":[{"code":"70123","type":"CDM"},{"code":"999","type":"RC"},{"code":"CP70123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"4011888","type":"CDM"},{"code":"301","type":"RC"},{"code":"84154","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":".Assy  Triglycerides","code_information":[{"code":"4015843","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"4017715","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Spacer/mdi Optichamber","code_information":[{"code":"3257299","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4627","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist  Rt Md","code_information":[{"code":"3259288","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Lft Md","code_information":[{"code":"3259292","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Cath/foley 20fr/5cc 165820","code_information":[{"code":"3253043","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4344","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist  Lft Lg","code_information":[{"code":"3259293","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Rt Lg","code_information":[{"code":"3259289","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dofetilide 0.125 Mg (Only If Pt Was On)","code_information":[{"code":"4078946","type":"CDM"},{"code":"250","type":"RC"},{"code":"69580","type":"CPT","modifier":"43"}],"standard_charges":[{"setting":"outpatient","modifier_code":["43"],"minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Supporter/atheletic Large 91003","code_information":[{"code":"3251210","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Rt Sm","code_information":[{"code":"3259287","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Supporter/atheletic Med","code_information":[{"code":"3253018","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dakins Solution Compound (8oz)","code_information":[{"code":"4070134","type":"CDM"},{"code":"250","type":"RC"},{"code":"43609","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Valve/anti Reflux","code_information":[{"code":"3256674","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256674","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Lft Xl","code_information":[{"code":"3259294","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Cytarabine 100mg/5ml Inj","code_information":[{"code":"4070035","type":"CDM"},{"code":"636","type":"RC"},{"code":"61703030538","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Splint Wrist Rt Xl","code_information":[{"code":"3259290","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Splint Wrist Rt Xxs","code_information":[{"code":"3701094","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Adapter Swivel Fiberoptic","code_information":[{"code":"3253259","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Cuffs/penny Weight (Prepak-ankle Wts.)","code_information":[{"code":"3254945","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254945","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dressing/allevyn Adhesive 5x5","code_information":[{"code":"3250561","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250561","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Guard/b&b Trach #11255","code_information":[{"code":"3257499","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Needle/whitacre 25g X 3 1/2  #405138","code_information":[{"code":"3250727","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250727","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Tape/kinesio 2  Blue","code_information":[{"code":"3258502","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258502","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Propofol 10 Mg / Ml 50ml Vial","code_information":[{"code":"4075066","type":"CDM"},{"code":"636","type":"RC"},{"code":"69023","type":"CPT","modifier":"401"}],"standard_charges":[{"setting":"outpatient","modifier_code":["401"],"minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Furosemide 10 Mg / Ml Oral Soln (60 Ml)","code_information":[{"code":"4072648","type":"CDM"},{"code":"250","type":"RC"},{"code":"54329","type":"CPT","modifier":"446"}],"standard_charges":[{"setting":"outpatient","modifier_code":["446"],"minimum":10,"maximum":27,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Balanced Salt Solution 15 Ml","code_information":[{"code":"4076158","type":"CDM"},{"code":"250","type":"RC"},{"code":"65079","type":"CPT","modifier":"515"}],"standard_charges":[{"setting":"outpatient","modifier_code":["515"],"minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Sheet/extremity #89279","code_information":[{"code":"3210137","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3210137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Timolol 0.5% Ophth Soln (5 Ml)","code_information":[{"code":"4071841","type":"CDM"},{"code":"250","type":"RC"},{"code":"64980051405","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Bandage/coban 6  Sterile #Dynj089006","code_information":[{"code":"3275688","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3275688","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Cap/protective #394.993","code_information":[{"code":"3251513","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251513","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Prochlorperazine 25mg Supp","code_information":[{"code":"4672224","type":"CDM"},{"code":"259","type":"RC"},{"code":"71301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Tetracaine 1/2% Ophth","code_information":[{"code":"4671839","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Debridment 1 To 5 Toenails Mcr Tech","code_information":[{"code":"710328","type":"CDM"},{"code":"510","type":"RC"},{"code":"11720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Complex E/m Visit Add-on Mcr Tech","code_information":[{"code":"710380","type":"CDM"},{"code":"510","type":"RC"},{"code":"G2211","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Cath Foley Silicone Coated 16fr 10ml","code_information":[{"code":"3700956","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4340","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Vacurette Cannual Straight 12 Mm","code_information":[{"code":"32510028","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Suture/4-0 Chromic Ps-2","code_information":[{"code":"3700921","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":".Crp  Uvmc","code_information":[{"code":"4017722","type":"CDM"},{"code":"300","type":"RC"},{"code":"88140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Bag Drainage Urinary Bedside 2000ml","code_information":[{"code":"3251350","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Cath Foley 12fr 5cc","code_information":[{"code":"3257308","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257308","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Drain Penrose Lf 1/4x12","code_information":[{"code":"3251745","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Oxytocin 30 Units In Lr 500ml","code_information":[{"code":"4079097","type":"CDM"},{"code":"636","type":"RC"},{"code":"10019029112","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Cervical Collar Soft Universal","code_information":[{"code":"3257954","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Blades Beaver Mini","code_information":[{"code":"3255645","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Insole/viscolas Sz-b","code_information":[{"code":"3258211","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Set/ext Macrobore 2 Needle Free Ports","code_information":[{"code":"3259249","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259249","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Strap/stretch Out W/poster #440ps","code_information":[{"code":"3250500","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Support/adj Ankle L&r (1 Sz Fits All)","code_information":[{"code":"3250622","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Vacurette/berkeley 12mm Curved #615","code_information":[{"code":"3258033","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258033","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Wrap/wrist Long Beige Lrg #58600-3","code_information":[{"code":"3258864","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dextrose 20% (Ppn)","code_information":[{"code":"3252500","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sodium Chloride 120 Meq / 30 Ml Iv Compd","code_information":[{"code":"4076044","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323018730","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Valve/defend Disp Biopsy #100302","code_information":[{"code":"3259404","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":26,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dexmedetomidine 200 Mcg / 2 Ml","code_information":[{"code":"4070112","type":"CDM"},{"code":"636","type":"RC"},{"code":"66794023302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Lidocaine 2% Viscous Oral Soln (15 Ml)","code_information":[{"code":"4072726","type":"CDM"},{"code":"250","type":"RC"},{"code":"72888012526","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Brimonidine 0.2% Opth (5 Ml)","code_information":[{"code":"4079058","type":"CDM"},{"code":"250","type":"RC"},{"code":"24208041105","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":2801,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":17},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":18},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Promethazine 25 Mg Suppository","code_information":[{"code":"4072230","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802075930","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Simethicone Drops 40 Mg / 0.6 Ml 30ml","code_information":[{"code":"4072655","type":"CDM"},{"code":"250","type":"RC"},{"code":"53613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Shoe Lift","code_information":[{"code":"701159","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Kit/post Op #93816","code_information":[{"code":"3250127","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Knee-o-band","code_information":[{"code":"70129","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2999","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Guide Wire 0.45x6 Ws-1106st","code_information":[{"code":"3700060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1769","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Screening Test Visual Acuity Bilateral","code_information":[{"code":"710126","type":"CDM"},{"code":"510","type":"RC"},{"code":"99173","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Ppd 5tuhealth Works","code_information":[{"code":"5010024","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP5010024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Charge Anti Ebna Mayo","code_information":[{"code":"4015114","type":"CDM"},{"code":"300","type":"RC"},{"code":"86664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Chloride Urine Random Rrmc","code_information":[{"code":"4017348","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Brucella Ab Igg Igm Elisa Mayo","code_information":[{"code":"4016483","type":"CDM"},{"code":"300","type":"RC"},{"code":"86622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Report Ova Paras Uvmc Entamoeba His","code_information":[{"code":"4016999","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Report Ova Paras Uvmc Trichen Spiral","code_information":[{"code":"4016911","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tube/luki 3 1/4","code_information":[{"code":"3252275","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252275","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Piperacillin / Tazobactam 4.5 Gm / Ns","code_information":[{"code":"4077913","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2543","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insole/viscolas Sz-c","code_information":[{"code":"3258212","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Insoles/visco-elastic Size-b #2301","code_information":[{"code":"3254924","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Lock-tite #11090","code_information":[{"code":"3257735","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257735","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Pouch/penis Retracted #9811","code_information":[{"code":"3253635","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253635","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Rollers/foam 36 X4","code_information":[{"code":"3250129","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tube/nasal Rae Endo 4.0  111781040","code_information":[{"code":"3258036","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Gentamicin Ophth Solution","code_information":[{"code":"4071816","type":"CDM"},{"code":"250","type":"RC"},{"code":"60758018805","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clindamycin 600 Mg / D5w 50 Ml Premix","code_information":[{"code":"4077031","type":"CDM"},{"code":"250","type":"RC"},{"code":"43066099324","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Lidocaine 2% Jelly (6 Ml) [Urology]","code_information":[{"code":"4079026","type":"CDM"},{"code":"250","type":"RC"},{"code":"76329301105","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":6,"type":"ML"}},{"description":"Tube/oral Rae Endo 7.0 C","code_information":[{"code":"3255949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tube/oral Rae Endo 7.5 C","code_information":[{"code":"3255921","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":25,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":16},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":17},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Methylprednisolone 40 Mg Vial","code_information":[{"code":"4073196","type":"CDM"},{"code":"636","type":"RC"},{"code":"90039","type":"CPT","modifier":"28"}],"standard_charges":[{"setting":"outpatient","modifier_code":["28"],"minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Succinylcholine 20 Mg/ml Vial (10 Ml)","code_information":[{"code":"4073893","type":"CDM"},{"code":"636","type":"RC"},{"code":"78134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Ropivacaine 0.5% (30ml) Pf Vial","code_information":[{"code":"4078267","type":"CDM"},{"code":"636","type":"RC"},{"code":"43066002301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Suture/6-0 Ethilon Ps-4","code_information":[{"code":"3700907","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700907","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":".Protein Total Other Source","code_information":[{"code":"4016255","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Cath Foley Silicone Coated 14fr 10cc","code_information":[{"code":"3700752","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4340","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Protective Caps","code_information":[{"code":"3700543","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Lectrode/disp Bladed Extended #E1551-6","code_information":[{"code":"3254519","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Sodium Urine Random Rrmc","code_information":[{"code":"4017748","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Potassium Urine Random Rrmc","code_information":[{"code":"4017764","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":".Triglycerides Rrmc","code_information":[{"code":"4017353","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Urine Chloride 24 Hr Rrmc","code_information":[{"code":"4017349","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":".Hb A1c Rrmc","code_information":[{"code":"4017713","type":"CDM"},{"code":"300","type":"RC"},{"code":"83930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":".Sodium Rand Urine Uvmc","code_information":[{"code":"4017714","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Rast Broccoli  Ige   Mayo","code_information":[{"code":"4017166","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Needle/huber Safety + 20x3/4","code_information":[{"code":"3259017","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Dressing/optifoam Gental Sa Post Op 4x8","code_information":[{"code":"3251232","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tube/oral Rae Endo 5.5 C","code_information":[{"code":"3256023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tube/oral Rae Endo 6.5 C","code_information":[{"code":"3255950","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Needle/huber Safety + 20x1","code_information":[{"code":"3259018","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Histrofreezer 1 Applicator","code_information":[{"code":"4070218","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Stockings Ted Med Reg","code_information":[{"code":"3253020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Benzoin Tinct And Spray 4oz","code_information":[{"code":"4078171","type":"CDM"},{"code":"636","type":"RC"},{"code":"40565011182","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fentanyl 2500 Mcg / 50 Ml Vial","code_information":[{"code":"4078339","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Strap/tennis Elbow","code_information":[{"code":"3258006","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3702","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Adjustable Knee Support","code_information":[{"code":"3255906","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255906","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Dressing/medihoney 2x2 #31022","code_information":[{"code":"3251629","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251629","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Sling/arm Disp X-sm #C41400-110","code_information":[{"code":"3257592","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Splint/ulnar-gutter Wrist Md/lg Dx51-223","code_information":[{"code":"3258832","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tape/kinesio 2  Black","code_information":[{"code":"3259493","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259493","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Tube/endo Size-4 #86225","code_information":[{"code":"3252245","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252245","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Capsaicin Cream 0.025% 60 Gm","code_information":[{"code":"4079003","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP4079003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Capsaicin Cream 0.025% 60 Gm","code_information":[{"code":"4079004","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP4079004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Phenobarbital 130 Mg / Ml","code_information":[{"code":"4077854","type":"CDM"},{"code":"259","type":"RC"},{"code":"16571033016","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":130,"type":"ME"}},{"description":"Medihoney 0.5 Oz Tube","code_information":[{"code":"4070217","type":"CDM"},{"code":"250","type":"RC"},{"code":"9958003421","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Phenytoin 250 Mg / 5 Ml Vial","code_information":[{"code":"4074242","type":"CDM"},{"code":"636","type":"RC"},{"code":"64161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":24,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Benzocaine 20% Oral Gel (12 Gram) Tube","code_information":[{"code":"4071870","type":"CDM"},{"code":"250","type":"RC"},{"code":"38341006545","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":12,"type":"GR"}},{"description":"Amiodarone 50 Mg / Ml Vial (3 Ml)","code_information":[{"code":"4077039","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457015303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Fentanyl 25 Mcg/hr Patch","code_information":[{"code":"4075043","type":"CDM"},{"code":"250","type":"RC"},{"code":"47781042411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":2801,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":9},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":16},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Dobutamine 250 Mg / 20 Ml Vial","code_information":[{"code":"4073289","type":"CDM"},{"code":"636","type":"RC"},{"code":"40923","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Potassium Chloride 40 Meq / 20 Ml Vial","code_information":[{"code":"4073164","type":"CDM"},{"code":"636","type":"RC"},{"code":"40966","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Loops/silicone Vessel","code_information":[{"code":"3255282","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255282","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cyclobenzaprine 10mg Pp","code_information":[{"code":"4672608","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Penicillin Vk 125mg/5ml Susp","code_information":[{"code":"4672706","type":"CDM"},{"code":"259","type":"RC"},{"code":"93412","type":"CPT","modifier":"573"}],"standard_charges":[{"setting":"outpatient","modifier_code":["573"],"minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Urinary Leg Bag Mcr","code_information":[{"code":"700841","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP700841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Suture/4-0 Ethilon Ps-2","code_information":[{"code":"3700905","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Suture/5-0 Ethilon Ps-2","code_information":[{"code":"3700906","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700906","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Needle Quincke Spinal 25gx5","code_information":[{"code":"3700424","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700424","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Suture/4-0 Vicryl Ps-2","code_information":[{"code":"3700912","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Sponge/pope Ear Wick #400141","code_information":[{"code":"3254524","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Glucose Blood Test","code_information":[{"code":"710171","type":"CDM"},{"code":"300","type":"RC"},{"code":"82962","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"710257","type":"CDM"},{"code":"301","type":"RC"},{"code":"81001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Urinalysis test","code_information":[{"code":"710025","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Leg Bag W Flip Drain","code_information":[{"code":"3700501","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4358","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Suture/y493g 5-0 Monocryl P-3","code_information":[{"code":"3701003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3701003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Hep B Core Ab Uvmc","code_information":[{"code":"4010542","type":"CDM"},{"code":"300","type":"RC"},{"code":"86704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Charge Iga Mayo","code_information":[{"code":"4017997","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Phosphorus Rrmc","code_information":[{"code":"4017342","type":"CDM"},{"code":"300","type":"RC"},{"code":"84100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Rast Peanut Reflex Pnut Compo Mayo","code_information":[{"code":"4017232","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Methemoglobin Blood Gas","code_information":[{"code":"4017235","type":"CDM"},{"code":"300","type":"RC"},{"code":"83050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tray/central Line Cvp Dressing","code_information":[{"code":"3250104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cleanser/skintegrity Wound","code_information":[{"code":"3252071","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Needle Electrode/modified 4  #0016a","code_information":[{"code":"3258952","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tube/oral Rae Endo 6.0 C","code_information":[{"code":"3253604","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Pouch Ostomy Sensura 3/8x3 #15521","code_information":[{"code":"3250346","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250346","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Speculum/vag W/light Md #C020110-1","code_information":[{"code":"3251490","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tube/oral Rae Endo 8.0 C","code_information":[{"code":"3255979","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Maxsorb/sorbsan Dressing Pad 4x4","code_information":[{"code":"3255204","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3255204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Gemcitabine 200 Mg Vial","code_information":[{"code":"4077100","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021023410","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Collar/infant Philly #53170","code_information":[{"code":"3259189","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Dressing/optifoam Non-adhesive 6 X6","code_information":[{"code":"3258949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Finger/trigger Solution #52373l","code_information":[{"code":"3250904","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250904","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Finger/trigger Solution #52373m","code_information":[{"code":"3250903","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Finger/trigger Solution #52373s","code_information":[{"code":"3250902","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Finger/trigger Solution #52373xs","code_information":[{"code":"3250901","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Gastrocult Developer #66115a","code_information":[{"code":"3250466","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250466","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Shield/nipple Contact 20mm #67218s","code_information":[{"code":"3250277","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Speculum/vag W/light Sm #C020100-1","code_information":[{"code":"3251489","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251489","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tube/nasal Rae Endo 4.5 C #111781045","code_information":[{"code":"3257821","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tube/nasal Rae Endo 6.0 C #43162-760","code_information":[{"code":"3253605","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253605","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tube/oral Rae Endo 4.0 Uc #43162-040","code_information":[{"code":"3253599","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cefepime 2000 Mg Vial","code_information":[{"code":"4079088","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505068104","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":2000,"type":"ME"}},{"description":"Ceftriaxone 2 Gm Vial","code_information":[{"code":"4076239","type":"CDM"},{"code":"636","type":"RC"},{"code":"40973","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Aluminum-magnesium Liquid (30 Ml)","code_information":[{"code":"4077550","type":"CDM"},{"code":"250","type":"RC"},{"code":"12117","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Zinc Oxide 40% Ointment","code_information":[{"code":"4077143","type":"CDM"},{"code":"250","type":"RC"},{"code":"74300000070","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Bacitracin Ointment (30 Gm)","code_information":[{"code":"4072007","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672207502","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Triamcinolone 0.1% Ointment (15 Gm)","code_information":[{"code":"4072048","type":"CDM"},{"code":"250","type":"RC"},{"code":"16800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":23,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":15},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Naloxone 0.4 Mg / 1 Ml Inj","code_information":[{"code":"4073261","type":"CDM"},{"code":"636","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Tourni-cot Small","code_information":[{"code":"3259058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Co-trimoxazole Ds Pp","code_information":[{"code":"4673612","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dressing Opticell Gelling Fiber Per 6","code_information":[{"code":"3700391","type":"CDM"},{"code":"623","type":"RC"},{"code":"A6199","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Blade Micro-sharp 15 Deg 3mm Depth","code_information":[{"code":"3255649","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Chg Uvmc Fungal Cult Hair Nail Skin","code_information":[{"code":"4011718","type":"CDM"},{"code":"300","type":"RC"},{"code":"87101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Charge Rrmc Microalb","code_information":[{"code":"4017754","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Ph  Urine","code_information":[{"code":"4016632","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Omnipaque 240 Mg/ml (100ml)","code_information":[{"code":"4070090","type":"CDM"},{"code":"255","type":"RC"},{"code":"40714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":240,"type":"ME"}},{"description":"Tourni-cot Medium #Tcm","code_information":[{"code":"3259059","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259059","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tourni-cot Large  Tcl","code_information":[{"code":"3259060","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259060","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Stockings Ted Reg Sm","code_information":[{"code":"3253021","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Dressing/foam 4x4 #9060-10","code_information":[{"code":"3258477","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Splint/wrist Rt/md #79-87005  (Lhc)","code_information":[{"code":"3251314","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Support/ankle Adj Mueller Green","code_information":[{"code":"3251199","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251199","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Support/neoprene Thumb #15952","code_information":[{"code":"3255960","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Tube/nasal Rae Endo 5 Cuffed","code_information":[{"code":"3257822","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Metoprolol Oral Suspension","code_information":[{"code":"4078081","type":"CDM"},{"code":"250","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sterile Water For Injection 1000ml","code_information":[{"code":"4078042","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Penicillin G Potassium 5 Mu Vial","code_information":[{"code":"4073155","type":"CDM"},{"code":"636","type":"RC"},{"code":"49052","type":"CPT","modifier":"83"}],"standard_charges":[{"setting":"outpatient","modifier_code":["83"],"minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Guaifenesin/dxm (120 Ml)","code_information":[{"code":"4072688","type":"CDM"},{"code":"259","type":"RC"},{"code":"70677118601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"Creon Dr 12k-38k-60k (Lip-pro-amy)","code_information":[{"code":"4079024","type":"CDM"},{"code":"250","type":"RC"},{"code":"32121","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vancomycin Vial 1000 Mg","code_information":[{"code":"4076065","type":"CDM"},{"code":"636","type":"RC"},{"code":"40965","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":22,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Megestrol Acetate 40 Mg / Ml (Chge=30ml)","code_information":[{"code":"4077295","type":"CDM"},{"code":"259","type":"RC"},{"code":"60432012608","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Analgesic Balm Greaseless","code_information":[{"code":"4072009","type":"CDM"},{"code":"250","type":"RC"},{"code":"57896011603","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Norepinephrine 4 Mg / 4 Ml Inj","code_information":[{"code":"4076237","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457085200","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":14},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":15},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Neostigmine 10mg/10ml Vial","code_information":[{"code":"4073896","type":"CDM"},{"code":"636","type":"RC"},{"code":"64161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Cannula/disp Inner #6dic","code_information":[{"code":"3259683","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259683","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cath/ureteral Red Rubber 8fr #056108","code_information":[{"code":"3258802","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258802","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Complex Special Stain Uvmc","code_information":[{"code":"4010129","type":"CDM"},{"code":"300","type":"RC"},{"code":"87209","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Assy Bld/ser Cholesterol","code_information":[{"code":"4010616","type":"CDM"},{"code":"300","type":"RC"},{"code":"82465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Rast Hazelnutfood, Ige Mayo","code_information":[{"code":"4017727","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Rast Pecanfood, Ige Mayo","code_information":[{"code":"4017729","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Rast Walnutfood, Ige Mayo","code_information":[{"code":"4017730","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Charge Creatinine Random Urine","code_information":[{"code":"4017971","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Rast Cashew, Ige Mayo","code_information":[{"code":"4017731","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cefazolin 2000 Mg Vial","code_information":[{"code":"4073014","type":"CDM"},{"code":"636","type":"RC"},{"code":"14391","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":2000,"type":"ME"}},{"description":"Irrig Sod Chl 1000ml","code_information":[{"code":"3252310","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cath/foley 100% Silicone 20fr/30cc","code_information":[{"code":"3253039","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cath/foley 100% Silicone 18fr/30cc","code_information":[{"code":"3253038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Speculum/vag W/light Lrg #C020120-1","code_information":[{"code":"3251491","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Brace Elbow Medium","code_information":[{"code":"3258347","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258347","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Cath/foley 24fr/30cc 166824","code_information":[{"code":"3253047","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Sterile Water :1000ml","code_information":[{"code":"3252408","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Rocuronium 10 Mg / Ml (5 Ml) Vial","code_information":[{"code":"4076202","type":"CDM"},{"code":"636","type":"RC"},{"code":"40914","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Rocuronium 10 Mg / Ml (10ml) Vial","code_information":[{"code":"4079154","type":"CDM"},{"code":"636","type":"RC"},{"code":"78132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":21,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Dibucaine Ointment 30 Gm","code_information":[{"code":"4072070","type":"CDM"},{"code":"250","type":"RC"},{"code":"57896013101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":2801,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":8},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":14},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Hw-immuno Tet","code_information":[{"code":"5010010","type":"CDM"},{"code":"430","type":"RC"},{"code":"CP5010010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Rast Mango Ige Mayo","code_information":[{"code":"4017798","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Rast Anise Ige Mayo","code_information":[{"code":"4017795","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Rast Apricot Ige Mayo","code_information":[{"code":"4017781","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Rast Banana Ige Mayo","code_information":[{"code":"4017796","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Rast Pineapple Ige Mayo","code_information":[{"code":"4017794","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Spirometer/incentive","code_information":[{"code":"3252324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Thiamine 200 Mg / 2 Ml","code_information":[{"code":"4073260","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323001302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Cath Foley 100  Silicone 16fr/30cc","code_information":[{"code":"3253037","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Dressing/versatel One 2 X3","code_information":[{"code":"3251015","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6206","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Bupivacaine 0.25% Vial (50 Ml)","code_information":[{"code":"4073869","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323046557","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Cath/foley 22fr/30cc 166822","code_information":[{"code":"3253040","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Cath Foley Pedi 8fr 3cc","code_information":[{"code":"3251640","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251640","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Electrode/disp Blade W/6  Sft #E1551-6","code_information":[{"code":"3251915","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251915","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Ceftriaxone  500 Mg / Ns 50 Ml","code_information":[{"code":"4077525","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567070125","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Eakin Cohesive Seals/sm 2  #839002","code_information":[{"code":"3259499","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Insole/heel Spur Sz-b","code_information":[{"code":"3258523","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Insole/heel Spur Sz-c","code_information":[{"code":"3258524","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Insole/heel Spur Sz-d","code_information":[{"code":"3258525","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258525","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Support/elbow Tennis Gel/air Reg","code_information":[{"code":"3250382","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250382","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Valve/biopsy (Maj-210) #52898","code_information":[{"code":"3254977","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"D5w (500 Ml) Glass Bottle","code_information":[{"code":"3256648","type":"CDM"},{"code":"258","type":"RC"},{"code":"40915","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"D5ns + Kcl 40 Meq (1000 Ml)","code_information":[{"code":"4076305","type":"CDM"},{"code":"636","type":"RC"},{"code":"33808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":20,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Gentamicin 80 Mg / 2 Ml Vial","code_information":[{"code":"4073087","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323001002","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Ammonium Lactate Cream 12%","code_information":[{"code":"4077370","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802051377","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydrocodone / Apap 7.5 / 325 Mg (15 Ml)","code_information":[{"code":"4078438","type":"CDM"},{"code":"250","type":"RC"},{"code":"60687041771","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Fluconazole 200 Mg / Ns 100 Ml","code_information":[{"code":"4078085","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021018466","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":13},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Carbamide Peroxide Otic 6.5% (15 Ml)","code_information":[{"code":"4071853","type":"CDM"},{"code":"250","type":"RC"},{"code":"52959018300","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Sumatriptan 6 Mg / 0.5 Ml Vial","code_information":[{"code":"4076003","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150017305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Ure-na 15 Gram Powder Packet","code_information":[{"code":"4070163","type":"CDM"},{"code":"250","type":"RC"},{"code":"62530000011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":15,"type":"GR"}},{"description":"Etomidate 40 Mg / 20 Ml","code_information":[{"code":"4074169","type":"CDM"},{"code":"636","type":"RC"},{"code":"14395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"K-wire 6  #1600-628","code_information":[{"code":"3259846","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP3259846","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Knife/microsurgical #72-1501","code_information":[{"code":"3251547","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Pack/phaco Accessory #Dp5501","code_information":[{"code":"3259315","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Tourniquet Digital Tourni-cot Xl","code_information":[{"code":"32510009","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP32510009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Kit/mothers Admission (Cbc)","code_information":[{"code":"3259041","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Charge Tot Prot Mayo","code_information":[{"code":"4017938","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Ref Mold Id Uvmc","code_information":[{"code":"4015091","type":"CDM"},{"code":"300","type":"RC"},{"code":"87107","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Charge Creatinine Ur Ntx Mayo","code_information":[{"code":"4010304","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Charge Rrmc Iron","code_information":[{"code":"4017703","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Iron Rrmc","code_information":[{"code":"4017701","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Lithium Rrmc","code_information":[{"code":"4017345","type":"CDM"},{"code":"300","type":"RC"},{"code":"80178","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Charge Dbi Uvmc","code_information":[{"code":"4017843","type":"CDM"},{"code":"300","type":"RC"},{"code":"82248","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Irrig Water 1000ml Ster","code_information":[{"code":"3251087","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Magic Mouthwash (60 Ml)","code_information":[{"code":"4078088","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":60,"type":"ML"}},{"description":"Cath Foley 100 Silicone 16fr 5cc","code_information":[{"code":"3253041","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Cord/disp Sterile #E0503","code_information":[{"code":"3254520","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254520","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Cath/foley 100% Silicone 18fr/5cc","code_information":[{"code":"3253042","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Dressing/optifoam Gentle Sa Bordered 4x4","code_information":[{"code":"3251009","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Cushion/heel Spur Size-a #2315","code_information":[{"code":"3255049","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3485","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Adapter/nebulizer Set 500ml","code_information":[{"code":"3258065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Cannula/nasal W/30'tubing #1699-30","code_information":[{"code":"3254587","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Cath/foley 30fr/30cc 6730","code_information":[{"code":"3255764","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Tube/nasal Rae Uncuffed 5.5 #43162-555","code_information":[{"code":"3258155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Pentamidine Infusion","code_information":[{"code":"4070192","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4070192","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine 2 Gm / 500 Ml D5w [Premix]","code_information":[{"code":"4078388","type":"CDM"},{"code":"636","type":"RC"},{"code":"33804","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":19,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Commercial","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":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Sodium Chloride 5% Ophth Soln (15 Ml)","code_information":[{"code":"4077432","type":"CDM"},{"code":"250","type":"RC"},{"code":"17478062312","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":2801,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":7},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":13},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Acetaminophen Susp 160 Mg / 5 Ml (60 Ml)","code_information":[{"code":"4078354","type":"CDM"},{"code":"250","type":"RC"},{"code":"36308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Methylprednisolone Acet  40 Mg/ml","code_information":[{"code":"4073064","type":"CDM"},{"code":"636","type":"RC"},{"code":"93073","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Iron","code_information":[{"code":"4015933","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Humid-vent Compact Straight","code_information":[{"code":"3258507","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Protector/heel & Elbow #Mdt-823298","code_information":[{"code":"3254234","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254234","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Midazolam Syrup 2 Mg / Ml (5 Ml)","code_information":[{"code":"4076303","type":"CDM"},{"code":"250","type":"RC"},{"code":"54356","type":"CPT","modifier":"699"}],"standard_charges":[{"setting":"outpatient","modifier_code":["699"],"minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Cannula/nasal Infant #1601","code_information":[{"code":"3254149","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Thumb Spica Right Med/lrg","code_information":[{"code":"3255021","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3808","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Penicillin G Potassium 2.5 Mu / Ns 100ml","code_information":[{"code":"4077745","type":"CDM"},{"code":"636","type":"RC"},{"code":"49052","type":"CPT","modifier":"83"}],"standard_charges":[{"setting":"outpatient","modifier_code":["83"],"minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Collar/cervical Lrg (Shc) #7983007","code_information":[{"code":"3251114","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Collar/cervical Med (Shc) #7983305","code_information":[{"code":"3251113","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Bag Drain Antireflux 2000ml","code_information":[{"code":"3251409","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251409","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Glove/economy Gel Med #53650-4","code_information":[{"code":"3256241","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Punch/disp Skin 3mm","code_information":[{"code":"3254369","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254369","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Sterile Water 500ml Al2500","code_information":[{"code":"3257403","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257403","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Tube/nasal Rae Uncuffed 4.0 #43162-540","code_information":[{"code":"3258152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Tube/nasal Rae Uncuffed 4.5 #43162-545","code_information":[{"code":"3258153","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Tube/nasal Rae Uncuffed 5.0 #43162-550","code_information":[{"code":"3258154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Tube/oral Rae Endo 4.5 Uc #43162-045","code_information":[{"code":"3253600","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Tube/rectal 24fr #0006510","code_information":[{"code":"3251478","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Valve/back Flo #100126","code_information":[{"code":"3259894","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Ns Viaflo Bag (500 Ml)","code_information":[{"code":"4079136","type":"CDM"},{"code":"250","type":"RC"},{"code":"26478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":18,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Heparin Pf 100 Units / Ml (5 Ml) Syringe","code_information":[{"code":"4077629","type":"CDM"},{"code":"636","type":"RC"},{"code":"8290306424","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":12},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Guaifenisin/codeine 200/20mg / 10 Ml","code_information":[{"code":"4077392","type":"CDM"},{"code":"250","type":"RC"},{"code":"50383008712","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Cath Foley Pedi 10fr 3cc","code_information":[{"code":"3251645","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Azithromycin 500 Mg Vial","code_information":[{"code":"4076306","type":"CDM"},{"code":"636","type":"RC"},{"code":"70860012541","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Piperacillin/tazobactam 3.375 Gm Vial","code_information":[{"code":"4077705","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150012030","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Magnesium Sulfate 2 Gm / 50 Ml [Premix]","code_information":[{"code":"4078169","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021061281","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Surgi-loop #Lp111","code_information":[{"code":"3253988","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Ibuprofen 400mg Pp","code_information":[{"code":"4673614","type":"CDM"},{"code":"259","type":"RC"},{"code":"90417","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Prochlorperazine 5mg Pp","code_information":[{"code":"4671619","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tylenol #3 Pp","code_information":[{"code":"4671792","type":"CDM"},{"code":"259","type":"RC"},{"code":"40604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Charge Mayo Antiepileptics 1-3","code_information":[{"code":"4017941","type":"CDM"},{"code":"300","type":"RC"},{"code":"80339","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Rast Chili Pepper Ige Mayo","code_information":[{"code":"4017852","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Rast Cinnamon Ige Mayo","code_information":[{"code":"4017853","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":".Alb Serum Mayo","code_information":[{"code":"4016476","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Ondansetron 4 Mg [Pre-pack #4]","code_information":[{"code":"4078216","type":"CDM"},{"code":"636","type":"RC"},{"code":"65862039010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Oxycodone / Acetaminophen [Pre-pack #4]","code_information":[{"code":"4073537","type":"CDM"},{"code":"250","type":"RC"},{"code":"40605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydrocodone/apap 5mg/325mg Pp (4 Tabs)","code_information":[{"code":"4078165","type":"CDM"},{"code":"637","type":"RC"},{"code":"10702018901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Cephalexin 250 Mg [Pre-pack #4]","code_information":[{"code":"4071610","type":"CDM"},{"code":"250","type":"RC"},{"code":"93314","type":"CPT","modifier":"501"}],"standard_charges":[{"setting":"outpatient","modifier_code":["501"],"minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Clindamycin 150 Mg [Pre-pack #4]","code_information":[{"code":"4076232","type":"CDM"},{"code":"250","type":"RC"},{"code":"90459","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Oxycodone 5 Mg Oral [Pre-pack #4]","code_information":[{"code":"4070239","type":"CDM"},{"code":"250","type":"RC"},{"code":"42858000101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Cyclobenzaprine 10 Mg [Pre-pack #4]","code_information":[{"code":"4072608","type":"CDM"},{"code":"250","type":"RC"},{"code":"51079064420","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Amoxicillin 250 Mg [Pre-pack #4]","code_information":[{"code":"4071609","type":"CDM"},{"code":"250","type":"RC"},{"code":"93310","type":"CPT","modifier":"701"}],"standard_charges":[{"setting":"outpatient","modifier_code":["701"],"minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Penicillin Vk 250 Mg [Pre-pack #4]","code_information":[{"code":"4071617","type":"CDM"},{"code":"250","type":"RC"},{"code":"93117","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Sulfamethazole/trimethoprim [Pre-pack]","code_information":[{"code":"4073612","type":"CDM"},{"code":"250","type":"RC"},{"code":"54868002102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydroxyzine 25 Mg [Pre-pack #4]","code_information":[{"code":"4077360","type":"CDM"},{"code":"636","type":"RC"},{"code":"59108","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Doxycycline 100 Mg [Pre-pack #4]","code_information":[{"code":"4078464","type":"CDM"},{"code":"250","type":"RC"},{"code":"63304061501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Tramadol 50 Mg (Pre-pack #4)","code_information":[{"code":"4070240","type":"CDM"},{"code":"250","type":"RC"},{"code":"57664037708","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Piperacillin / Tazobactam 3.375 Gm / Ns","code_information":[{"code":"4078283","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567080210","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Carboplatin 50 Mg Vial","code_information":[{"code":"4074074","type":"CDM"},{"code":"636","type":"RC"},{"code":"70342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Piperacillin / Tazobactam (4hr Infusion)","code_information":[{"code":"4078281","type":"CDM"},{"code":"636","type":"RC"},{"code":"40933","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Collar Cervical Small","code_information":[{"code":"3255630","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Glove/comp Lft Med #60611","code_information":[{"code":"3256845","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"D5nm:500ml","code_information":[{"code":"3252580","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Sodium Acetate 40 Meq / 20 Ml","code_information":[{"code":"4073496","type":"CDM"},{"code":"250","type":"RC"},{"code":"40972","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Surgical Lubricant 4.25 Oz","code_information":[{"code":"4073889","type":"CDM"},{"code":"250","type":"RC"},{"code":"28102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydralazine 20 Mg / Ml","code_information":[{"code":"4073021","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323061455","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Hydromorphone 1 Mg / Ml Syringe","code_information":[{"code":"4078027","type":"CDM"},{"code":"636","type":"RC"},{"code":"40912","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":".Charge Microalbumin","code_information":[{"code":"4011782","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":17,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":11},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Erythromycin Ophth Oint U/d","code_information":[{"code":"4671817","type":"CDM"},{"code":"259","type":"RC"},{"code":"16800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Statlock Foley Stabilization Device","code_information":[{"code":"3700502","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4333","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Otowick","code_information":[{"code":"32510002","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Vacurette Cannual Straight 7 Mm","code_information":[{"code":"32510027","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP32510027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Suture/vicryl 4-0 J284g","code_information":[{"code":"3701135","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3701135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Urine Protein Rrmc","code_information":[{"code":"4017350","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Urine Sodium 24 Hr Rrmc","code_information":[{"code":"4017751","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":".Protein Ua Rand Uvm","code_information":[{"code":"4017710","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Urine Potassium 24 Hr Rrmc","code_information":[{"code":"4017752","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"..Microalb/creat Ratio Rrmc","code_information":[{"code":"4017749","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Dressing/optifoam Gentle Lite Border 4x4","code_information":[{"code":"3251231","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Stethoscope/esoph 18fr  Es400-18","code_information":[{"code":"3255094","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Dressing/alginate Cal 4x4","code_information":[{"code":"3251364","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Dressing/optifoam 4x4","code_information":[{"code":"3258121","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"White Petrolatum Jelly 2.5 Oz. Tube","code_information":[{"code":"4078323","type":"CDM"},{"code":"250","type":"RC"},{"code":"90457","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Collar Cervical Universal","code_information":[{"code":"3254858","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Pouch Assura Ac Lg 2 3/4  #14359","code_information":[{"code":"3250344","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250344","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Valve/lopez #M9000","code_information":[{"code":"3254152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Cytarabine :2000 Mg Vial","code_information":[{"code":"4077570","type":"CDM"},{"code":"636","type":"RC"},{"code":"61703031922","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":2000,"type":"ME"}},{"description":"Exerciser/hand #52000","code_information":[{"code":"3257969","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3808","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Baseplate Assura","code_information":[{"code":"3250643","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Button Hook/zipper Pull Combo #28616","code_information":[{"code":"3258320","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Cystotome/irrig 25ga Str #Rx1610a","code_information":[{"code":"3257964","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Dressing/melgisorb 10x10cm(4x4)","code_information":[{"code":"3251359","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Finger Strip Lg 1  #Nc12785","code_information":[{"code":"3250958","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Pad/universal Pressure W/strap #5629-85","code_information":[{"code":"3250383","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Solosite Dressing 2x2 #59482300a","code_information":[{"code":"3257861","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Diltiazem 25 Mg / 5 Ml Vial","code_information":[{"code":"4076036","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Bismuth Liquid (240 Ml)","code_information":[{"code":"4073381","type":"CDM"},{"code":"250","type":"RC"},{"code":"53612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":240,"type":"ML"}},{"description":"Ciprofloxacin 400 Mg / D5w 200 Ml Premix","code_information":[{"code":"4076025","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021011487","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Ropivacaine 0.2% (10 Ml) Pf Vial","code_information":[{"code":"4070211","type":"CDM"},{"code":"636","type":"RC"},{"code":"70069006101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Ns Mini Bag Plus (100 Ml)","code_information":[{"code":"4077135","type":"CDM"},{"code":"636","type":"RC"},{"code":"33805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Magnesium Citrate (300 Ml)","code_information":[{"code":"4072611","type":"CDM"},{"code":"250","type":"RC"},{"code":"70677111201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":300,"type":"ML"}},{"description":"Amoxicillin Susp 400 Mg / 5 Ml (50 Ml)","code_information":[{"code":"4077506","type":"CDM"},{"code":"250","type":"RC"},{"code":"65862007150","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":2801,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Aluminum-magnesium Plus (30 Ml)","code_information":[{"code":"4077578","type":"CDM"},{"code":"250","type":"RC"},{"code":"12117","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":16,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":10},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":11},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":6},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Nero Sponge 1/2  X 3","code_information":[{"code":"3700544","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700544","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Vecuronium 10 Mg","code_information":[{"code":"4073878","type":"CDM"},{"code":"636","type":"RC"},{"code":"47335093144","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Sterile Water 50 Ml Vial","code_information":[{"code":"4070141","type":"CDM"},{"code":"250","type":"RC"},{"code":"40948","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Syringe Epilor Lor 7ml","code_information":[{"code":"3700409","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700409","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Allergen Panel Annual Peren Mold 2of2","code_information":[{"code":"4010290","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Needle Spinal 25gx2.5","code_information":[{"code":"3700748","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700748","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Glucose Fs Glucometer","code_information":[{"code":"4016507","type":"CDM"},{"code":"300","type":"RC"},{"code":"82948","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Creatinine Urine Random Rrmc","code_information":[{"code":"4017750","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":".Ca Uvmc","code_information":[{"code":"4017815","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":".Creat Ua Rand Uvm","code_information":[{"code":"4017711","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Serum Creatinine Rrmc","code_information":[{"code":"4017780","type":"CDM"},{"code":"300","type":"RC"},{"code":"82565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"D10w (1000 Ml)","code_information":[{"code":"3252516","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Fluorouracil 500mg/10ml Vial","code_information":[{"code":"4073311","type":"CDM"},{"code":"636","type":"RC"},{"code":"16729027668","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Lidocaine 2% / Epinephrine 200k (20 Ml)","code_information":[{"code":"4070000","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323048927","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Morphine 10 Mg / 0.5 Ml Oral Syringes","code_information":[{"code":"4078558","type":"CDM"},{"code":"250","type":"RC"},{"code":"68094004558","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Enoxaparin 40 Mg / 0.4 Ml Inj","code_information":[{"code":"4077045","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323056463","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Diphenhydramine 12.5 Mg / 5 Ml (118 Ml)","code_information":[{"code":"4073986","type":"CDM"},{"code":"636","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":15,"gross_charge":14,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":10},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Guaifenesin Syrup (118 Ml)","code_information":[{"code":"4072686","type":"CDM"},{"code":"259","type":"RC"},{"code":"70677118601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":118,"type":"ML"}},{"description":"Meropenem 500 Mg Vial","code_information":[{"code":"4077844","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323050720","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Hydrocerin Cream (4 Oz)","code_information":[{"code":"4072032","type":"CDM"},{"code":"250","type":"RC"},{"code":"80681015500","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ampicillin 2 Gm Vial","code_information":[{"code":"4073282","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150011420","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Snapsecure","code_information":[{"code":"32510008","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4333","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Needle Quincke Spinal 20gx6","code_information":[{"code":"3701092","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3701092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Snapsecure Mcr","code_information":[{"code":"701035","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4333","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Rast Pistachio Ige Mayo","code_information":[{"code":"4018009","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Gluten Ige Mayo","code_information":[{"code":"4017977","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Rast House Dust/greer Lab Ige Mayo","code_information":[{"code":"4017966","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Rast Aspergillus Niger Ige Mayo","code_information":[{"code":"4017840","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Stylet Satin Slip 14fr","code_information":[{"code":"3253588","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Cannula/adult Co2 Male 7","code_information":[{"code":"3256694","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Nasogastric Tube Holder","code_information":[{"code":"3250164","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250164","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Tube/endo Size-6.5 #86110","code_information":[{"code":"3253031","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"D10w (250 Ml)","code_information":[{"code":"3252581","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Bupivacaine 0.5% Vial (50 Ml)","code_information":[{"code":"4073871","type":"CDM"},{"code":"636","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Hypertonic Saline 3% (500 Ml)","code_information":[{"code":"4078220","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP4078220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Vent Circuit Non-heated","code_information":[{"code":"3253950","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Dressing/optifoam Gentle Sa Sacrum 3x3","code_information":[{"code":"3250988","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Ampicillin  2 Gm / Ns 100 Ml","code_information":[{"code":"4077655","type":"CDM"},{"code":"636","type":"RC"},{"code":"78134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Cuff/disp Lg Adult","code_information":[{"code":"3250022","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Finger Strip Md 3/4  #Nc12784","code_information":[{"code":"3250957","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Pouch/surfit Nutura 1 1/2  401511","code_information":[{"code":"3258343","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Support/wristlet Med #Nc15958-2","code_information":[{"code":"3257227","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Tube/endo Size-8.5 #86114","code_information":[{"code":"3253432","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253432","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Lubriderm Lotion Fragrance Free 6 Oz","code_information":[{"code":"4077484","type":"CDM"},{"code":"259","type":"RC"},{"code":"52800048826","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clindamycin 600 Mg / 4 Ml Vial","code_information":[{"code":"4073054","type":"CDM"},{"code":"250","type":"RC"},{"code":"90775","type":"CPT","modifier":"26"}],"standard_charges":[{"setting":"outpatient","modifier_code":["26"],"minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Cefepime 1000 Mg Vial","code_information":[{"code":"4079086","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505083404","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Pantoprazole 40 Mg Vial","code_information":[{"code":"4077402","type":"CDM"},{"code":"636","type":"RC"},{"code":"14393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Hydrocortisone 25 Mg Suppository","code_information":[{"code":"4077379","type":"CDM"},{"code":"250","type":"RC"},{"code":"71305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Bacitracin-neomycin-polymyxin Top 30 G","code_information":[{"code":"4072064","type":"CDM"},{"code":"250","type":"RC"},{"code":"71302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":30,"type":"GR"}},{"description":"Linezolid 600 Mg Oral Tab","code_information":[{"code":"4077771","type":"CDM"},{"code":"637","type":"RC"},{"code":"31722074920","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Flumazenil 0.1 Mg / Ml 5 Ml Vial","code_information":[{"code":"4075027","type":"CDM"},{"code":"636","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Bumetanide 1 Mg / 4 Ml Vial","code_information":[{"code":"4077495","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":14,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":9},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":9},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Pacifer Nebulizer Kit #40-108-003","code_information":[{"code":"3250606","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250606","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Diphenhydramine 25mg Pp","code_information":[{"code":"4671612","type":"CDM"},{"code":"259","type":"RC"},{"code":"90453","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Epinephrine 1:1000 Amp","code_information":[{"code":"4673007","type":"CDM"},{"code":"259","type":"RC"},{"code":"40972","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Erythromycin 250mg Pp-base","code_information":[{"code":"4671614","type":"CDM"},{"code":"259","type":"RC"},{"code":"74630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Needle Spinal 25g X 3.5","code_information":[{"code":"3700547","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Spee-d Cool Gel Pad 4","code_information":[{"code":"3700084","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":".Charge Albumin Serum Mayo","code_information":[{"code":"4017928","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Ns 100 Ml","code_information":[{"code":"3255860","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Filter/pft #536719-001","code_information":[{"code":"3254892","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Irrig Water 500ml Ster","code_information":[{"code":"3252304","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"D5 1/4ns (1000 Ml)","code_information":[{"code":"3252511","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Stylet Satin Slip 6fr","code_information":[{"code":"3253925","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253925","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Clamp/coloplast Barrette #9500","code_information":[{"code":"3256649","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Sigmoidoscope/disp Kleenspec","code_information":[{"code":"3256086","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Eye Shield/right Blue N.s. #8608","code_information":[{"code":"3254792","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Leukotape 1.5  X 15yds","code_information":[{"code":"3255148","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Pouch/natura Drainable #401512","code_information":[{"code":"3257588","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Protector Finger 1 1/2''","code_information":[{"code":"3253105","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Protector Finger 3 1/2","code_information":[{"code":"3253107","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Protector/finger 3  #25-002","code_information":[{"code":"3253106","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Support/wristlet Lrg #Nc15958-3","code_information":[{"code":"3257228","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Peppermint Spirit","code_information":[{"code":"4077795","type":"CDM"},{"code":"259","type":"RC"},{"code":"39522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Pill Splitter","code_information":[{"code":"4077792","type":"CDM"},{"code":"250","type":"RC"},{"code":"79573001115","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Adenosine 6 Mg / 2 Ml Inj","code_information":[{"code":"4074259","type":"CDM"},{"code":"636","type":"RC"},{"code":"17478054202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Fentanyl 250 Mcg / 5 Ml Vial","code_information":[{"code":"4074158","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323080613","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ns 1/2 + Kcl 20 Meq (1000 Ml)","code_information":[{"code":"4078055","type":"CDM"},{"code":"636","type":"RC"},{"code":"33807","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5ns + Kcl 20 Meq (1000 Ml)","code_information":[{"code":"4076262","type":"CDM"},{"code":"636","type":"RC"},{"code":"33808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Stockinette/impervious #A1586","code_information":[{"code":"3254894","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Morphine 10 Mg Injection Syringe","code_information":[{"code":"4077441","type":"CDM"},{"code":"636","type":"RC"},{"code":"40918","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Magnesium Sulfate 4 Gm / 100 Ml [Premix]","code_information":[{"code":"4075022","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567042124","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Cath Kit Pediatric Urine","code_information":[{"code":"3700341","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":12,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","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":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}]},{"description":"Octreotide Acetate: 100 Mcg / Ml Vial","code_information":[{"code":"4077804","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323037601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":2801,"gross_charge":12,"discounted_cash":9,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":8},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":5},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Lidocaine 5% Topical Patch","code_information":[{"code":"4077422","type":"CDM"},{"code":"250","type":"RC"},{"code":"59135","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Enoxaparin 30 Mg / 0.3 Ml Inj","code_information":[{"code":"4076213","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323055963","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Ampicillin/sulbactam 1.5 Gm Vial","code_information":[{"code":"4078385","type":"CDM"},{"code":"636","type":"RC"},{"code":"72485041601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Levofloxacin 500 Mg / D5w 100 Ml Premix","code_information":[{"code":"4077199","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021013282","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Vancomycin Vial 500 Mg","code_information":[{"code":"4078032","type":"CDM"},{"code":"636","type":"RC"},{"code":"40943","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Acyclovir 500 Mg Vial","code_information":[{"code":"4073321","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150015411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Valproate 500 Mg / 5 Ml Vial","code_information":[{"code":"4076245","type":"CDM"},{"code":"636","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":".Ph Venous 500","code_information":[{"code":"4010229","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cord/disp Bipolar #E0509","code_information":[{"code":"3254311","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254311","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Tip/yankauer Suction (Or's)","code_information":[{"code":"3259080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Staple Remover","code_information":[{"code":"3700717","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700717","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cannula/27ga Anterior Chamber #Rx1273a","code_information":[{"code":"3259386","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":".Assay Of Protein Chg Uvmc","code_information":[{"code":"4011519","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Uric Acid Uvmc","code_information":[{"code":"4017892","type":"CDM"},{"code":"300","type":"RC"},{"code":"84550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":".Lipase Uvmc","code_information":[{"code":"4017900","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":".Ref Manual Differential","code_information":[{"code":"4010166","type":"CDM"},{"code":"300","type":"RC"},{"code":"85007","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":".Magnesium Uvmc","code_information":[{"code":"4017907","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Ns (1000 Ml)","code_information":[{"code":"3252524","type":"CDM"},{"code":"636","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5 1/2ns (1000 Ml)","code_information":[{"code":"3252513","type":"CDM"},{"code":"250","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Dressing/optifoam Gentle Lite Border 3x3","code_information":[{"code":"3250316","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"D5lr (1000 Ml)","code_information":[{"code":"3252591","type":"CDM"},{"code":"636","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5w (1000 Ml)","code_information":[{"code":"3252507","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5ns (1000 Ml)","code_information":[{"code":"3252515","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Ns 1/2 (1000 Ml)","code_information":[{"code":"3252531","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5ns (500 Ml)","code_information":[{"code":"3252514","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Acetazolamide 250 Mg Oral Tab","code_information":[{"code":"4077477","type":"CDM"},{"code":"250","type":"RC"},{"code":"52710","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"D5 1/2ns (500 Ml)","code_information":[{"code":"3252512","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Nasal  Suction  Little Sucker  #N225","code_information":[{"code":"3259065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cuff/disp Reg Adult","code_information":[{"code":"3250028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Sterile Water For Inhalation 1000ml","code_information":[{"code":"3253408","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"D5 1/4ns (500 Ml)","code_information":[{"code":"3252510","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"D5lr (500 Ml)","code_information":[{"code":"3255445","type":"CDM"},{"code":"260","type":"RC"},{"code":"J7121","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Enema Pediatric (Fleets)","code_information":[{"code":"3252008","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Irrig Sod Chl 250ml","code_information":[{"code":"3254337","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Neotech Little Suckers #N205","code_information":[{"code":"3257854","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257854","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Tube/endo Size-4.5 #86046 Lopro Uncuffed","code_information":[{"code":"3255738","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255738","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Bupivacaine 0.75% / Dextrose 8.5% (2 Ml)","code_information":[{"code":"4074103","type":"CDM"},{"code":"250","type":"RC"},{"code":"40936","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":11,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Tranexamic Acid 1000 Mg / 10 Ml","code_information":[{"code":"4078524","type":"CDM"},{"code":"636","type":"RC"},{"code":"81284061200","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":11,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":8},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Ciprofloxacin 200 Mg / D5w 100 Ml Premix","code_information":[{"code":"4077855","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021011482","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Dexamethasone 10 Mg / Ml (1 Ml) Pf","code_information":[{"code":"4070195","type":"CDM"},{"code":"636","type":"RC"},{"code":"70069002125","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Disulfiram 250 Mg Oral","code_information":[{"code":"4077102","type":"CDM"},{"code":"250","type":"RC"},{"code":"47781060730","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Nitroglycerin 2% Oint (1 Inch)","code_information":[{"code":"4076011","type":"CDM"},{"code":"250","type":"RC"},{"code":"28103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Charge Creatinine Urine","code_information":[{"code":"4018032","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Sevoflurane 0.25 Hour","code_information":[{"code":"4079221","type":"CDM"},{"code":"250","type":"RC"},{"code":"74445","type":"CPT","modifier":"604"}],"standard_charges":[{"setting":"outpatient","modifier_code":["604"],"minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Naltrexone 50 Mg Oral Tab","code_information":[{"code":"4079206","type":"CDM"},{"code":"637","type":"RC"},{"code":"40611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Amoxicillin / Clavulanate 250 / 125 Mg","code_information":[{"code":"4073846","type":"CDM"},{"code":"250","type":"RC"},{"code":"42571016030","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Actifed Pp","code_information":[{"code":"4671608","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Penicillin Vk 250mg Pp","code_information":[{"code":"4671617","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Phenazopyridine 100mg Pp","code_information":[{"code":"4671618","type":"CDM"},{"code":"259","type":"RC"},{"code":"9047922604","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Garamycin Gentamicin To 80 Mg Inj","code_information":[{"code":"700874","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1580","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gauze Iodoform 1 Inch","code_information":[{"code":"3700246","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700246","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cath/anes Iv 16gax1.77 381457","code_information":[{"code":"3257947","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257947","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Protein Urine 24 Hr Rrmc","code_information":[{"code":"4017351","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Calcium 24 Hr Urine Uvmc","code_information":[{"code":"4018020","type":"CDM"},{"code":"300","type":"RC"},{"code":"82340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Creatinine 24 Hr Urine Uvmc","code_information":[{"code":"4018021","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":".Chg Uvmc Fungal Smear","code_information":[{"code":"4016813","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":".Acetaminophen Uvmc","code_information":[{"code":"4017821","type":"CDM"},{"code":"300","type":"RC"},{"code":"80143","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"D5w (500 Ml)","code_information":[{"code":"3252506","type":"CDM"},{"code":"258","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Stethoscope/esoph 12fr","code_information":[{"code":"3255966","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"D5w (100 Ml)","code_information":[{"code":"3255858","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Ns (50 Ml)","code_information":[{"code":"3252534","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Iv Cath 20ga","code_information":[{"code":"3255330","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Pack/spee-d-cool Gel #Scp-30","code_information":[{"code":"3259473","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259473","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Gentamicin 100 Mg / 50 Ml Premix","code_information":[{"code":"4070258","type":"CDM"},{"code":"250","type":"RC"},{"code":"33805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Iv Cath 22gax1 (Xray/cat Scan)jj4461","code_information":[{"code":"3255401","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"D5w (50 Ml)","code_information":[{"code":"3255857","type":"CDM"},{"code":"636","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Dressing/hydrocolloid Exudurm Satin 4x4","code_information":[{"code":"3251437","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3251437","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Sodium Citrates 5 Gm / 30 Ml","code_information":[{"code":"4076098","type":"CDM"},{"code":"250","type":"RC"},{"code":"12111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Tube/endo Size-5.5 #86108","code_information":[{"code":"3253316","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Tranexamic Acid 650 Mg Tablet","code_information":[{"code":"4070264","type":"CDM"},{"code":"637","type":"RC"},{"code":"69918030130","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":650,"type":"ME"}},{"description":"Tube/endo Size-5 #86107","code_information":[{"code":"3253029","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Lift/heel 1/4  Large #2343","code_information":[{"code":"3255130","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Lift/heel Small 1/8","code_information":[{"code":"3255326","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Bags Breathing Variety Pk/colors","code_information":[{"code":"3259448","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259448","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cath/advantiv Safety Iv 14gax2","code_information":[{"code":"3250177","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250177","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cath/advantiv Safety Iv 16gax2","code_information":[{"code":"3250323","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Cath/advantiv Safety Iv 18gax1 3/4","code_information":[{"code":"3250324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Pad/cambion Arch/large #Nc29018-2","code_information":[{"code":"3258931","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Punch/disp Skin 3.5mm #P3550","code_information":[{"code":"3259443","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Set/transfer L.f. (Rx) #15435-48","code_information":[{"code":"3258803","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258803","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Splint/3pt Oval Finger","code_information":[{"code":"3258698","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258698","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Support/arch Longitudinal Lrg #2348","code_information":[{"code":"3254922","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254922","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Support/arch Longitudinal Small #2346","code_information":[{"code":"3254920","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Tube/endo Size-3.5 #86224","code_information":[{"code":"3253320","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Tube/feeding Infant","code_information":[{"code":"3252260","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Valproate Syrup 250 Mg / 5 Ml","code_information":[{"code":"4076046","type":"CDM"},{"code":"250","type":"RC"},{"code":"12146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Glucose Gel 12.5 Gm Oral","code_information":[{"code":"4070074","type":"CDM"},{"code":"250","type":"RC"},{"code":"57400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ticagrelor 90 Mg Oral Tablet","code_information":[{"code":"4070277","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP4070277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":10,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cefazolin 500 Mg Vial","code_information":[{"code":"4077665","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567070625","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":2801,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":7},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":4},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":7},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Midazolam 5 Mg / Ml (10 Ml) Vial","code_information":[{"code":"4076229","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Bupivacaine Dental Inj 0.5 Mg/1.8 Ml","code_information":[{"code":"4070244","type":"CDM"},{"code":"636","type":"RC"},{"code":"36205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Lollicaine Topical Anesthetic Gel","code_information":[{"code":"4070248","type":"CDM"},{"code":"250","type":"RC"},{"code":"60640369001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Propofol 10 Mg / Ml 20ml Vial","code_information":[{"code":"4074198","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323026937","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Fentanyl 100 Mcg / 2 Ml Vial","code_information":[{"code":"4074112","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323080612","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Racemic Epinephrine 2.25% Ud (Resp)","code_information":[{"code":"4077456","type":"CDM"},{"code":"250","type":"RC"},{"code":"48759","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Tray/urethral Cath #3143","code_information":[{"code":"3252220","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Interm Urin Cath Straight Tip W/wo Coat","code_information":[{"code":"70127","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4351","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Suture/2-0 Silk Fs","code_information":[{"code":"3700911","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Plugs F/carbon Maroon #394.97","code_information":[{"code":"3255534","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3255534","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Kit/promise Pads (Cbc)","code_information":[{"code":"3259330","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Ns (50 Ml)","code_information":[{"code":"3255859","type":"CDM"},{"code":"636","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Ns (250 Ml)","code_information":[{"code":"3252522","type":"CDM"},{"code":"636","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Ns (500 Ml)","code_information":[{"code":"3252590","type":"CDM"},{"code":"636","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Irrig Sod Chl 500ml","code_information":[{"code":"3252303","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Lr : 500 Ml","code_information":[{"code":"3252518","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"D5w (250 Ml)","code_information":[{"code":"3252505","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Pouch/assura Ac Adh Coupling #14357","code_information":[{"code":"3259460","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259460","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Wedge/posting Heel 5* #6409112","code_information":[{"code":"3251732","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Filters/aspiration Inj Disk #415002","code_information":[{"code":"3259324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Localizer 2.3cm  #210","code_information":[{"code":"3250525","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250525","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Localizer 4.0cm  #211","code_information":[{"code":"3250524","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Protector/convoluted Foot #30210","code_information":[{"code":"3256229","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3256229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Protector/tooth Disp L.f. #9-3041-03","code_information":[{"code":"3258991","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258991","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Splint Finger 1 5/8","code_information":[{"code":"3253104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Splint/static Finger Ext/lg #Cw5170","code_information":[{"code":"3258830","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Support/thermoskin Elastic Med","code_information":[{"code":"3250018","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"30 Ml Vial *Bacteriostatic* Water","code_information":[{"code":"4079178","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323092410","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Milk Of Magnesia 400 Mg / 5 Ml (30 Ml)","code_information":[{"code":"4072654","type":"CDM"},{"code":"250","type":"RC"},{"code":"69339015301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Phenol 1% Oral Spray","code_information":[{"code":"4070342","type":"CDM"},{"code":"250","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Potassium Chloride 20 Meq Iv Centrl Line","code_information":[{"code":"4076269","type":"CDM"},{"code":"636","type":"RC"},{"code":"99070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Triamcinolone 40 Mg / Ml Vial (1 Ml)","code_information":[{"code":"4073281","type":"CDM"},{"code":"636","type":"RC"},{"code":"70121104901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Lorazepam 2 Mg / Ml Inj","code_information":[{"code":"4071778","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Hydromorphone 2 Mg / Ml Syringe","code_information":[{"code":"4071755","type":"CDM"},{"code":"636","type":"RC"},{"code":"40913","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Simethicone Drops 0.5 Ml (Endo Chg)","code_information":[{"code":"4072737","type":"CDM"},{"code":"250","type":"RC"},{"code":"53613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Dronabinol 2.5 Mg Oral Cap","code_information":[{"code":"40779154","type":"CDM"},{"code":"637","type":"RC"},{"code":"42858086706","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Tube/endo Size-7.5  86112","code_information":[{"code":"3253033","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253033","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":9,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":6},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Povidone Iodine Soln 10% (4 Oz)","code_information":[{"code":"4070241","type":"CDM"},{"code":"250","type":"RC"},{"code":"67618015004","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Chlorpromazine 25 Mg Oral Tab","code_information":[{"code":"4071464","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714004801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Lurasidone 40 Mg Oral Tab","code_information":[{"code":"4079123","type":"CDM"},{"code":"637","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Pregnancy Test","code_information":[{"code":"3700145","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3700145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Guaifenesin/dextromethorphan Sf (120 Ml)","code_information":[{"code":"4078251","type":"CDM"},{"code":"259","type":"RC"},{"code":"54859050504","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"Buprenorphine 2 Mg Sl Tab","code_information":[{"code":"4077780","type":"CDM"},{"code":"637","type":"RC"},{"code":"62756045983","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Furosemide 100 Mg / 10 Ml Inj","code_information":[{"code":"4079089","type":"CDM"},{"code":"636","type":"RC"},{"code":"36000028425","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Morphine 2 Mg Injection Syringe","code_information":[{"code":"4073603","type":"CDM"},{"code":"636","type":"RC"},{"code":"40918","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Bupivacaine 0.25% Vial Pf (30 Ml)","code_information":[{"code":"4073870","type":"CDM"},{"code":"636","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Promethazine Syrup 6.25mg/5ml","code_information":[{"code":"4672668","type":"CDM"},{"code":"259","type":"RC"},{"code":"A9270","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bedside Drainage Bag Mcr","code_information":[{"code":"70137","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4357","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Extension Drainage Tube Any Length","code_information":[{"code":"70128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP70128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Clear Link Ext Cap","code_information":[{"code":"3259881","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259881","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/endo Size-8 #86113","code_information":[{"code":"3253034","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Triamcinolone 0.1% Cream (15 Gm)","code_information":[{"code":"4072043","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802006435","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Tube/endo Size-6","code_information":[{"code":"3253030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"D5w (50 Ml)","code_information":[{"code":"3252508","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Tube/oral Rae Endo 4.5 C","code_information":[{"code":"3251705","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251705","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Hydrogel Skintegrity 1 Oz","code_information":[{"code":"3258291","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258291","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Paste/strip","code_information":[{"code":"3259410","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"D5w (100 Ml)","code_information":[{"code":"3252509","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Lidocaine 2% Vial (20 Ml)","code_information":[{"code":"4073861","type":"CDM"},{"code":"636","type":"RC"},{"code":"40942","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Cannula/nasal Pedi","code_information":[{"code":"3254150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Punch/disp Skin 5mm #P525","code_information":[{"code":"3257932","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tray/trach Dressing Change #4336trac1001","code_information":[{"code":"3252200","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252200","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/endo Size-3 #86223","code_information":[{"code":"3253319","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/endo Size-5 #43158-050","code_information":[{"code":"3253872","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/et Cuffed Sz 3.0","code_information":[{"code":"3251995","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/et Cuffed Sz 3.5","code_information":[{"code":"3251996","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/et Cuffed Sz 4.0","code_information":[{"code":"3251997","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/et Cuffed Sz 5.5","code_information":[{"code":"3252004","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Acetaminophen/codeine Elixir 120/12/5ml","code_information":[{"code":"4671780","type":"CDM"},{"code":"259","type":"RC"},{"code":"90419","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Alcohol Isopropyl 70% (473 Ml)","code_information":[{"code":"4073884","type":"CDM"},{"code":"259","type":"RC"},{"code":"86908","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":473,"type":"ML"}},{"description":"Nicotine 14 Mg Patch","code_information":[{"code":"4076000","type":"CDM"},{"code":"637","type":"RC"},{"code":"43598044771","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":14,"type":"ME"}},{"description":"Metronidazole 500 Mg / 100 Ml Premix","code_information":[{"code":"4073266","type":"CDM"},{"code":"636","type":"RC"},{"code":"40901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Lactulose 20 Gm / 30 Ml Ud","code_information":[{"code":"4077950","type":"CDM"},{"code":"250","type":"RC"},{"code":"12111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Promethazine 25 Mg / Ml Vial","code_information":[{"code":"4077592","type":"CDM"},{"code":"636","type":"RC"},{"code":"64109","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":8,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":6},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Commercial","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":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Terbutaline 1 Mg / Ml Vial","code_information":[{"code":"4073038","type":"CDM"},{"code":"636","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Magnesium Sulfate 1 Gm (8.12 Meq) / 2 Ml","code_information":[{"code":"4073133","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323006401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Povidone Iodine Soln 10% (0.5 Oz)","code_information":[{"code":"4070242","type":"CDM"},{"code":"250","type":"RC"},{"code":"67618015005","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sumatriptan 50 Mg Oral Tablet","code_information":[{"code":"4077644","type":"CDM"},{"code":"637","type":"RC"},{"code":"37856","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Ampicillin 1 Gm Vial","code_information":[{"code":"4073161","type":"CDM"},{"code":"636","type":"RC"},{"code":"78134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nicotine 21 Mg Patch","code_information":[{"code":"4076001","type":"CDM"},{"code":"637","type":"RC"},{"code":"53658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":21,"type":"ME"}},{"description":"Levofloxacin 250 Mg / D5w 50 Ml Premix","code_information":[{"code":"4079224","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021013281","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Suture/silk 3-0 Strands A184h","code_information":[{"code":"3701136","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3701136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Adjust-a-lift Heel Lift 2  Sm","code_information":[{"code":"3256144","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Cath/condom 32mm Medium","code_information":[{"code":"3250149","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4349","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Bupivacaine 0.5% Vial Pf (10 Ml)","code_information":[{"code":"4077123","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323046603","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Ointment/barrier Remedy Essentials","code_information":[{"code":"3255633","type":"CDM"},{"code":"270","type":"RC"},{"code":"A6250","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tray/irrig Piston  68800","code_information":[{"code":"3252125","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Lift/heel Adjust-a-lift 2 1/2  Wide Med","code_information":[{"code":"3256145","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Lift/heel 1/4  Small #2342","code_information":[{"code":"3254928","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Set/ext Macrobore 20  #12655-28","code_information":[{"code":"3251362","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Cots Finger 1 1/4","code_information":[{"code":"3250305","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Lift/heel Adjust-a-lift 3  Wide Lg","code_information":[{"code":"3256146","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Cath Foley Silicone Coated 14fr 30cc","code_information":[{"code":"3251655","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4338","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Duoderm Spots Xthin #187932","code_information":[{"code":"3258645","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Punch/disp Skin 4mm","code_information":[{"code":"3255296","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Punch/disp Skin 6mm","code_information":[{"code":"3251541","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251541","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube Feeding Infant 8 Fr","code_information":[{"code":"3252255","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/endo Size 2 #86221","code_information":[{"code":"3253317","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/endo Size 4.5","code_information":[{"code":"3253028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/endo Size-2.5","code_information":[{"code":"3253318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Tube/feeding Premee 5frx15","code_information":[{"code":"3252250","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Wedge/corrective Heel 1/4  Sm #2351","code_information":[{"code":"3255131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}]},{"description":"Nicotine 7 Mg Patch","code_information":[{"code":"4076301","type":"CDM"},{"code":"250","type":"RC"},{"code":"53658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":7,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":7,"type":"ME"}},{"description":"Magnesium Sulfate 1 Gm / 100 Ml [Premix]","code_information":[{"code":"4078352","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567041024","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Clotrimazole 1% Cream [30 Gm]","code_information":[{"code":"4070132","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672200202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Povidone Iodine Oint 10% (1 Oz)","code_information":[{"code":"4070197","type":"CDM"},{"code":"250","type":"RC"},{"code":"52380012602","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lidocaine 1% Vial (10 Ml)","code_information":[{"code":"4077067","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323020110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":2801,"gross_charge":7,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":5},{"payer_name":"Anthem","plan_name":"Anthem Exchange","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":3},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":5},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Calamine Lotion","code_information":[{"code":"4074045","type":"CDM"},{"code":"250","type":"RC"},{"code":"90425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Bupivacaine 0.25% Vial (10 Ml) Pf","code_information":[{"code":"4070208","type":"CDM"},{"code":"636","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Tray Suture Removal","code_information":[{"code":"3252187","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252187","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Midazolam 1 Mg / Ml (5 Ml) Vial","code_information":[{"code":"4076191","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Polyethylene Glycol 3350 (17 Grams)","code_information":[{"code":"4077543","type":"CDM"},{"code":"250","type":"RC"},{"code":"63739019861","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":17,"type":"GR"}},{"description":"Levetiracetam 500 Mg Vial","code_information":[{"code":"4078286","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150017705","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Prednisone 20mg Pp","code_information":[{"code":"4673615","type":"CDM"},{"code":"259","type":"RC"},{"code":"54001","type":"CPT","modifier":"820"}],"standard_charges":[{"setting":"outpatient","modifier_code":["820"],"minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Iv Cath 20ga 1 1/4 Jelco Needle","code_information":[{"code":"3700036","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":".Osmolality Feces Mayo","code_information":[{"code":"4016606","type":"CDM"},{"code":"300","type":"RC"},{"code":"84999","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":".Stool Potassium Mayo","code_information":[{"code":"4016607","type":"CDM"},{"code":"300","type":"RC"},{"code":"84999","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Cots/finger Fold Over Medium","code_information":[{"code":"3253070","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Filter/trans #002862","code_information":[{"code":"3254022","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Remover Staple","code_information":[{"code":"3253924","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Irrig Water 250ml Ster","code_information":[{"code":"3254338","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254338","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Ns 1/2 (500 Ml)","code_information":[{"code":"3253469","type":"CDM"},{"code":"250","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Cath Self Straight Tip Male","code_information":[{"code":"3259774","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3259774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Midazolam 5 Mg / Ml (2 Ml) Vial","code_information":[{"code":"4070049","type":"CDM"},{"code":"636","type":"RC"},{"code":"40923","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Potassium Chloride 20 Meq / 10 Ml Vial","code_information":[{"code":"4079167","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323096510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Lift/heel 1/4  #6159","code_information":[{"code":"3251730","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3332","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Cath/condom 36mm Large","code_information":[{"code":"3250150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Pack/instant Cold","code_information":[{"code":"3253984","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"D5w (250 Ml) Aviva Bag","code_information":[{"code":"3253011","type":"CDM"},{"code":"258","type":"RC"},{"code":"40979","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":6,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Lidocaine 1% / Epinephrine 100k (20 Ml)","code_information":[{"code":"4073858","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323048227","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Quetiapine Xr 50 Mg Oral Tab","code_information":[{"code":"4078305","type":"CDM"},{"code":"637","type":"RC"},{"code":"50228038060","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Acetaminophen Susp 325 Mg/10.15ml Syrnge","code_information":[{"code":"4078506","type":"CDM"},{"code":"250","type":"RC"},{"code":"68094033059","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Sterile Water 10 Ml Vial","code_information":[{"code":"4073851","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323018510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":4},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Prazosin 1 Mg Oral Cap","code_information":[{"code":"4071568","type":"CDM"},{"code":"637","type":"RC"},{"code":"70954001910","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Ns 20 Ml Vial","code_information":[{"code":"4070142","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323018620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Aspirin Suppository 300 Mg","code_information":[{"code":"4072221","type":"CDM"},{"code":"250","type":"RC"},{"code":"57470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Phenytoin 100 Mg / 2 Ml Vial","code_information":[{"code":"4073073","type":"CDM"},{"code":"636","type":"RC"},{"code":"64104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Docusate 100 Mg / 10 Ml Syrup Cups","code_information":[{"code":"4079018","type":"CDM"},{"code":"250","type":"RC"},{"code":"50383034911","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Nitrofurantoin Mon/mac 100 Mg Cap","code_information":[{"code":"4079137","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714043901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Acetaminophen Suppository 325 Mg","code_information":[{"code":"4073373","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672211602","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Acamprosate 333 Mg Oral Tab","code_information":[{"code":"4077739","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462043518","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":333,"type":"ME"}},{"description":"Cath Indwelling Foley Mcr","code_information":[{"code":"70134","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP70134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Intermit Urinary Cath Coude Curved","code_information":[{"code":"70135","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4352","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Instrument Tip Protector Yellow","code_information":[{"code":"3700437","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3700437","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Block Bite 60fr","code_information":[{"code":"3250484","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Splint Finger 6","code_information":[{"code":"3250465","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250465","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Nebulizer Kit W/flex Tubing","code_information":[{"code":"3252292","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252292","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Flecainide 50 Mg Tablet","code_information":[{"code":"4070019","type":"CDM"},{"code":"250","type":"RC"},{"code":"50268032011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Dressing/xeroform Curad 4x4","code_information":[{"code":"3275294","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3275294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Finger Splint Padded .75x18","code_information":[{"code":"3250480","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250480","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Zaleplon 5 Mg Oral Capsule","code_information":[{"code":"4079030","type":"CDM"},{"code":"637","type":"RC"},{"code":"29300013101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Abatacept  Infusion","code_information":[{"code":"4078034","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0129","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Abciximab  Infusion","code_information":[{"code":"4077935","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4077935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ampicillin / Ns (Pediatric Syringe)","code_information":[{"code":"4077880","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4077880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cefazolin  250 Mg / Ns 50 Ml","code_information":[{"code":"4078111","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4078111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ceftriaxone Syringe","code_information":[{"code":"4078087","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4078087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Daptomycin  / Ns 50 Ml","code_information":[{"code":"4078092","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0878","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dipyridamole Syringe","code_information":[{"code":"4077604","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4077604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Doxorubicin  Syringe","code_information":[{"code":"4077640","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4077640","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Doxorubicin Liposomal Infusion","code_information":[{"code":"4078245","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4078245","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Furosemide 250 Mg / 250 Ml Ns Infusion","code_information":[{"code":"4078448","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1940","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gentamicin / Ns (Syringe)","code_information":[{"code":"4078116","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4078116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Infliximab  Infusion","code_information":[{"code":"4070080","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4070080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Irinotecan Infusion","code_information":[{"code":"4077602","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9206","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ixabepilone  Ivpb","code_information":[{"code":"4078949","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4078949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Meropenem  500 Mg / 50 Ml","code_information":[{"code":"4078078","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323050720","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Micafungin  / Ns 100 Ml","code_information":[{"code":"4070047","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2248","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Phenylephrine Infusion","code_information":[{"code":"4077952","type":"CDM"},{"code":"636","type":"RC"},{"code":"51702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ramucirumab Infusion","code_information":[{"code":"4070010","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4070010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rasburicase In Ns","code_information":[{"code":"4078203","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4078203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rituximab  Infusion","code_information":[{"code":"4077597","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q5119","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vancomycin Syringe (Pediatric)","code_information":[{"code":"4078115","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3370","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vincristine  Infusion","code_information":[{"code":"4079187","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4079187","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vinorelbine / Ns","code_information":[{"code":"4077783","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP4077783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Angiocath 24g X 3/4","code_information":[{"code":"3253005","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Cath/straight Self 12fr 412","code_information":[{"code":"3251652","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251652","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Cath/straight Self 14fr 450","code_information":[{"code":"3251647","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251647","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Flexi Trak Lrg (Convatec)#0374-49","code_information":[{"code":"3257098","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3257098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Medication Reconciliation/reorder","code_information":[{"code":"4078446","type":"CDM"},{"code":"259","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nafcillin  2 Gm / Ns 100 Ml","code_information":[{"code":"4070043","type":"CDM"},{"code":"259","type":"RC"},{"code":"70860011726","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Oseltamivir [Pre-pack]","code_information":[{"code":"4078069","type":"CDM"},{"code":"259","type":"RC"},{"code":"40800","type":"CPT","modifier":"85"}],"standard_charges":[{"setting":"outpatient","modifier_code":["85"],"minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Phenytoin Susp 25 Mg / Ml (30 Ml)","code_information":[{"code":"4072622","type":"CDM"},{"code":"259","type":"RC"},{"code":"60432013108","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Saline Rinse 30ml","code_information":[{"code":"4078486","type":"CDM"},{"code":"259","type":"RC"},{"code":"64938001012","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Valproate / Ns","code_information":[{"code":"4077636","type":"CDM"},{"code":"258","type":"RC"},{"code":"63323094905","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Carboplatin  Infusion","code_information":[{"code":"4077595","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4077595","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Labetalol  Infusion","code_information":[{"code":"4077910","type":"CDM"},{"code":"250","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ns + Kcl (1000 Ml) *Compounded*","code_information":[{"code":"4079176","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4079176","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Sweeat-ease Natural 24% Sucrose Soln","code_information":[{"code":"4070219","type":"CDM"},{"code":"250","type":"RC"},{"code":"89805060340","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Templateself-administered Meds","code_information":[{"code":"4079019","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cefazolin  1 Gm / Ns 50 Ml","code_information":[{"code":"4079009","type":"CDM"},{"code":"636","type":"RC"},{"code":"14392","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Lidocaine-mpf 2% Vial (5 Ml)","code_information":[{"code":"4073860","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323020805","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Phenylephrine 10 Mg / Ml Vial","code_information":[{"code":"4073962","type":"CDM"},{"code":"636","type":"RC"},{"code":"64161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Oxytocin 10u/ml Vial","code_information":[{"code":"4073257","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323001201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ceftriaxone 1 Gm Vial","code_information":[{"code":"4073387","type":"CDM"},{"code":"636","type":"RC"},{"code":"40973","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nystatin Suspension 500,000 Units / 5 Ml","code_information":[{"code":"4070222","type":"CDM"},{"code":"250","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":4},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Lidocaine-mpf 1% Vial (5 Ml)","code_information":[{"code":"4073854","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150015974","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Ns 10 Ml Vial","code_information":[{"code":"4073852","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323018610","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Heparin 5,000 Units Injection","code_information":[{"code":"4076198","type":"CDM"},{"code":"636","type":"RC"},{"code":"40914","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Buprenorphine 8 Mg / Naloxone 2 Mg Tab","code_information":[{"code":"4077481","type":"CDM"},{"code":"637","type":"RC"},{"code":"62175045832","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":8,"type":"ME"}},{"description":"Metoclopramide 10 Mg / 2 Ml Vial","code_information":[{"code":"4073258","type":"CDM"},{"code":"636","type":"RC"},{"code":"70345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Primidone 250 Mg Oral Tab","code_information":[{"code":"4071275","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268068715","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Midazolam 5 Mg / Ml (1 Ml) Vial","code_information":[{"code":"4071794","type":"CDM"},{"code":"636","type":"RC"},{"code":"40923","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Midazolam 1 Mg / Ml (2 Ml) Vial","code_information":[{"code":"4076312","type":"CDM"},{"code":"636","type":"RC"},{"code":"23155060031","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Hydrogen Peroxide","code_information":[{"code":"4073883","type":"CDM"},{"code":"250","type":"RC"},{"code":"49348017938","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clozapine 100 Mg Oral","code_information":[{"code":"4075065","type":"CDM"},{"code":"250","type":"RC"},{"code":"37808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Temazepam 15 Mg Oral Cap","code_information":[{"code":"4074148","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079041820","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Splint/baseball Finger","code_information":[{"code":"3700734","type":"CDM"},{"code":"274","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Diazepam 5 Mg Tab","code_information":[{"code":"4074092","type":"CDM"},{"code":"637","type":"RC"},{"code":"17239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Acetaminophen 325 Mg Oral Tab","code_information":[{"code":"4077588","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Acetaminophen 500 Mg Oral Tab","code_information":[{"code":"4079002","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Rosuvastatin 10 Mg Oral Tab","code_information":[{"code":"4070024","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862029490","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Albuterol 3 Mg/ Ipratropium 0.5 Mg Neb","code_information":[{"code":"4078921","type":"CDM"},{"code":"250","type":"RC"},{"code":"48702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Hydroxyzine 25 Mg Oral Tablet","code_information":[{"code":"4071042","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155050101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ondansetron Inj 4 Mg / 2 Ml Vial","code_information":[{"code":"4076144","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Pantoprazole Dr 40 Mg Oral Tab","code_information":[{"code":"4079148","type":"CDM"},{"code":"637","type":"RC"},{"code":"72865023090","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Melatonin 3 Mg Oral Tablet","code_information":[{"code":"4078274","type":"CDM"},{"code":"637","type":"RC"},{"code":"80681008600","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Nicotine Polacrilex Gum 2 Mg","code_information":[{"code":"4078090","type":"CDM"},{"code":"250","type":"RC"},{"code":"53613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Potassium Chloride Er 20 Meq Oral Tab","code_information":[{"code":"4073606","type":"CDM"},{"code":"637","type":"RC"},{"code":"63304098701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Oxycodone 5 Mg Oral","code_information":[{"code":"4076279","type":"CDM"},{"code":"250","type":"RC"},{"code":"42858000101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Gabapentin 300 Mg Cap","code_information":[{"code":"4076309","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687059101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Metformin Er 500 Mg Oral Tab","code_information":[{"code":"4077399","type":"CDM"},{"code":"637","type":"RC"},{"code":"70010049101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Prednisone 20 Mg Oral Tab","code_information":[{"code":"4071123","type":"CDM"},{"code":"637","type":"RC"},{"code":"59651048801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Docusate 100 Mg Cap","code_information":[{"code":"4071151","type":"CDM"},{"code":"637","type":"RC"},{"code":"57896040103","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Magnesium Oxide 400 Mg Oral Tab","code_information":[{"code":"4077274","type":"CDM"},{"code":"637","type":"RC"},{"code":"69367027102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Aspirin Ec 81 Mg Oral Tab","code_information":[{"code":"4077056","type":"CDM"},{"code":"637","type":"RC"},{"code":"10135072962","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":81,"type":"ME"}},{"description":"Aspirin Chewable 81 Mg Tab","code_information":[{"code":"4075053","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":81,"type":"ME"}},{"description":"Senna / Docusate 8.6 / 50 Mg Tab","code_information":[{"code":"4077391","type":"CDM"},{"code":"637","type":"RC"},{"code":"53612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Olanzapine 5 Mg Oral Tab","code_information":[{"code":"4076201","type":"CDM"},{"code":"637","type":"RC"},{"code":"43598016430","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Ibuprofen 600 Mg Oral Tab","code_information":[{"code":"4071539","type":"CDM"},{"code":"637","type":"RC"},{"code":"90458","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Senna 8.6 Mg Oral Tab","code_information":[{"code":"4071397","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":86,"type":"ME"}},{"description":"Amlodipine 5 Mg Oral","code_information":[{"code":"4076204","type":"CDM"},{"code":"250","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Escitalopram 10 Mg Oral Tab","code_information":[{"code":"4077454","type":"CDM"},{"code":"637","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Clonidine 0.1 Mg Oral Tab","code_information":[{"code":"4071556","type":"CDM"},{"code":"637","type":"RC"},{"code":"22821","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Fluoxetine 20 Mg Oral Cap","code_information":[{"code":"4075041","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862019301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Aripiprazole 10 Mg Tab","code_information":[{"code":"4077607","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714014301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Quetiapine 25 Mg Oral Tab","code_information":[{"code":"4076224","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268063011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Bupropion Xl 150 Mg (24hr Tablet)","code_information":[{"code":"4077559","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180031909","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Buspirone 10 Mg Oral Tab","code_information":[{"code":"4076055","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079098620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Famotidine 20 Mg Oral Tab","code_information":[{"code":"4074321","type":"CDM"},{"code":"637","type":"RC"},{"code":"17257","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Duloxetine 30 Mg Oral Cap","code_information":[{"code":"4077747","type":"CDM"},{"code":"637","type":"RC"},{"code":"57237001830","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Clopidogrel 75 Mg Tab","code_information":[{"code":"4076298","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862035730","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Propranolol 20 Mg Oral Tab","code_information":[{"code":"4071214","type":"CDM"},{"code":"637","type":"RC"},{"code":"69238207801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Multivitamin Oral Tablet","code_information":[{"code":"4071457","type":"CDM"},{"code":"637","type":"RC"},{"code":"90405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Levetiracetam 500 Mg Oral Tab","code_information":[{"code":"4077808","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714003502","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Cephalexin 250 Mg Oral Cap","code_information":[{"code":"4071235","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877022001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Metoprolol (Tartrate) 25 Mg Tab","code_information":[{"code":"4077738","type":"CDM"},{"code":"637","type":"RC"},{"code":"57237010001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Dexamethasone 4 Mg / Ml (1 Ml)","code_information":[{"code":"4070055","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457042300","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Risperidone 1 Mg Oral","code_information":[{"code":"4076085","type":"CDM"},{"code":"250","type":"RC"},{"code":"43547034106","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Trazodone 50 Mg Oral Tab","code_information":[{"code":"4071589","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Furosemide 40 Mg / 4 Ml Inj","code_information":[{"code":"4073118","type":"CDM"},{"code":"636","type":"RC"},{"code":"72603025101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Albuterol 2.5 Mg / 3 Ml (0.083%) Neb","code_information":[{"code":"4073436","type":"CDM"},{"code":"250","type":"RC"},{"code":"76204020025","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Trazodone 100 Mg Oral Tab","code_information":[{"code":"4073423","type":"CDM"},{"code":"637","type":"RC"},{"code":"42291086990","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ondansetron Odt 4 Mg Oral","code_information":[{"code":"4077834","type":"CDM"},{"code":"636","type":"RC"},{"code":"16714020010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Gabapentin 100 Mg Cap","code_information":[{"code":"4076308","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714066101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Budesonide 0.5 Mg / 2 Ml Respule","code_information":[{"code":"4073344","type":"CDM"},{"code":"250","type":"RC"},{"code":"68180098405","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Spironolactone 25 Mg Tab","code_information":[{"code":"4071004","type":"CDM"},{"code":"637","type":"RC"},{"code":"63629106101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Mirtazapine 15 Mg Oral Tab","code_information":[{"code":"4077961","type":"CDM"},{"code":"637","type":"RC"},{"code":"13107003134","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Quetiapine 100 Mg Oral Tab","code_information":[{"code":"4076225","type":"CDM"},{"code":"637","type":"RC"},{"code":"29300014901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Folic Acid 1 Mg Oral Tab","code_information":[{"code":"4071184","type":"CDM"},{"code":"637","type":"RC"},{"code":"53746036101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Pregabalin 75 Mg Oral Cap","code_information":[{"code":"4077940","type":"CDM"},{"code":"637","type":"RC"},{"code":"72205001390","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Cholecalciferol (Vitamin D3) 25 Mcg","code_information":[{"code":"4078151","type":"CDM"},{"code":"637","type":"RC"},{"code":"80681016900","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Tamsulosin 0.4 Mg Oral Cap","code_information":[{"code":"4077372","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862059801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Ketorolac 15 Mg / Ml Vial","code_information":[{"code":"4070272","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323016121","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Dexamethasone 4 Mg Oral Tab","code_information":[{"code":"4071130","type":"CDM"},{"code":"637","type":"RC"},{"code":"54418","type":"CPT","modifier":"425"}],"standard_charges":[{"setting":"outpatient","modifier_code":["425"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Lorazepam 1 Mg Oral Tab","code_information":[{"code":"4076243","type":"CDM"},{"code":"637","type":"RC"},{"code":"93342","type":"CPT","modifier":"601"}],"standard_charges":[{"setting":"outpatient","modifier_code":["601"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Sertraline 100 Mg Oral Tab","code_information":[{"code":"4073628","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714061304","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Gabapentin 600 Mg Tab","code_information":[{"code":"4077160","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Ibuprofen 200 Mg Oral Tab","code_information":[{"code":"4073365","type":"CDM"},{"code":"637","type":"RC"},{"code":"55289067350","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Lamotrigine 100 Mg Oral Tab","code_information":[{"code":"4077181","type":"CDM"},{"code":"637","type":"RC"},{"code":"72888002601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Venlafaxine Er 75 Mg Oral Cap","code_information":[{"code":"4077075","type":"CDM"},{"code":"637","type":"RC"},{"code":"93738","type":"CPT","modifier":"598"}],"standard_charges":[{"setting":"outpatient","modifier_code":["598"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Sertraline 25 Mg Oral Tab","code_information":[{"code":"4077741","type":"CDM"},{"code":"637","type":"RC"},{"code":"69097083305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Losartan 50 Mg Oral Tab","code_information":[{"code":"4077058","type":"CDM"},{"code":"637","type":"RC"},{"code":"33342004507","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Azithromycin 250 Mg Oral Tab","code_information":[{"code":"4076028","type":"CDM"},{"code":"636","type":"RC"},{"code":"59762219807","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Thiamine 100 Mg Oral","code_information":[{"code":"4071460","type":"CDM"},{"code":"250","type":"RC"},{"code":"11845005651","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lorazepam 0.5 Mg Oral Tab","code_information":[{"code":"4074285","type":"CDM"},{"code":"637","type":"RC"},{"code":"69315090401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Losartan 25 Mg Oral Tab","code_information":[{"code":"4076170","type":"CDM"},{"code":"637","type":"RC"},{"code":"31722070090","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Gabapentin 400 Mg Cap","code_information":[{"code":"4077080","type":"CDM"},{"code":"637","type":"RC"},{"code":"62756013902","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Metoprolol (Tartrate) 50 Mg Tab","code_information":[{"code":"4071561","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877059101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Methadone 40 Mg Oral Tab","code_information":[{"code":"4079212","type":"CDM"},{"code":"637","type":"RC"},{"code":"40605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Tramadol 50 Mg","code_information":[{"code":"4077077","type":"CDM"},{"code":"250","type":"RC"},{"code":"57664037708","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Doxycycline 100 Mg Oral Cap","code_information":[{"code":"4074351","type":"CDM"},{"code":"637","type":"RC"},{"code":"62332025050","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Metoprolol Er (Succinate) 25 Mg Tab","code_information":[{"code":"4077387","type":"CDM"},{"code":"637","type":"RC"},{"code":"50742061501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Bacitracin Ointment (0.9 Gm) [Foilpak]","code_information":[{"code":"4074305","type":"CDM"},{"code":"250","type":"RC"},{"code":"57896014514","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Acidophilus Oral Cap","code_information":[{"code":"4077776","type":"CDM"},{"code":"637","type":"RC"},{"code":"57896083701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Levothyroxine 100 Mcg Oral Tab","code_information":[{"code":"4071439","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079044201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Famotidine 20 Mg Vial (10 Mg / Ml)","code_information":[{"code":"4077507","type":"CDM"},{"code":"250","type":"RC"},{"code":"70860075141","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Lacosamide 50 Mg Tablet","code_information":[{"code":"4070169","type":"CDM"},{"code":"637","type":"RC"},{"code":"50228019260","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Amoxicillin / Clavulanate 875 / 125 Mg","code_information":[{"code":"4079213","type":"CDM"},{"code":"250","type":"RC"},{"code":"81964022114","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Guaifenesin Er 600 Mg Oral Tab","code_information":[{"code":"4079232","type":"CDM"},{"code":"637","type":"RC"},{"code":"53611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Cyclobenzaprine 10 Mg Oral Tab","code_information":[{"code":"4071544","type":"CDM"},{"code":"637","type":"RC"},{"code":"93342","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Pregabalin 25 Mg Oral Cap","code_information":[{"code":"4078913","type":"CDM"},{"code":"637","type":"RC"},{"code":"76282056890","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Diphenhydramine 25 Mg Oral Cap","code_information":[{"code":"4071056","type":"CDM"},{"code":"636","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Cetirizine 10 Mg Oral Tab","code_information":[{"code":"4079121","type":"CDM"},{"code":"637","type":"RC"},{"code":"57664034483","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Metoprolol Er (Succinate) 50 Mg Tab","code_information":[{"code":"4076020","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877059101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Hydromorphone 2 Mg Oral Tab","code_information":[{"code":"4071741","type":"CDM"},{"code":"637","type":"RC"},{"code":"40632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Clindamycin 150 Mg Oral Cap","code_information":[{"code":"4073425","type":"CDM"},{"code":"637","type":"RC"},{"code":"90459","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Levothyroxine 25 Mcg Oral Tab","code_information":[{"code":"4071437","type":"CDM"},{"code":"637","type":"RC"},{"code":"52732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Calcium Carbonate 500 Mg Chewable Tab","code_information":[{"code":"4079006","type":"CDM"},{"code":"637","type":"RC"},{"code":"66553000401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Ziprasidone 20 Mg Oral","code_information":[{"code":"4077377","type":"CDM"},{"code":"250","type":"RC"},{"code":"65862070260","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Propranolol 10 Mg Oral Tab","code_information":[{"code":"4071213","type":"CDM"},{"code":"637","type":"RC"},{"code":"54868005200","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Chlordiazepoxide 25 Mg Oral Cap","code_information":[{"code":"4073943","type":"CDM"},{"code":"637","type":"RC"},{"code":"55501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Cefazolin 1000 Mg Vial","code_information":[{"code":"4073015","type":"CDM"},{"code":"636","type":"RC"},{"code":"14399","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Ferrous Sulfate 325 Mg Oral Tab","code_information":[{"code":"4071178","type":"CDM"},{"code":"637","type":"RC"},{"code":"90475","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Diphenhydramine 50 Mg / Ml Vial","code_information":[{"code":"4073031","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323066401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Baclofen 10 Mg Oral Tab","code_information":[{"code":"4074140","type":"CDM"},{"code":"637","type":"RC"},{"code":"17240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Hydrocodone/acetaminophen 5/325 Mg Oral","code_information":[{"code":"4078164","type":"CDM"},{"code":"250","type":"RC"},{"code":"10702018901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Oxycodone/acetaminophen 5/325 Oral Tab","code_information":[{"code":"4073948","type":"CDM"},{"code":"637","type":"RC"},{"code":"31722094901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Furosemide 20 Mg Oral Tab","code_information":[{"code":"4071243","type":"CDM"},{"code":"637","type":"RC"},{"code":"54829","type":"CPT","modifier":"725"}],"standard_charges":[{"setting":"outpatient","modifier_code":["725"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Ciprofloxacin 250 Mg Oral","code_information":[{"code":"4073525","type":"CDM"},{"code":"637","type":"RC"},{"code":"58657067501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Lisinopril 20 Mg Tab","code_information":[{"code":"4077104","type":"CDM"},{"code":"637","type":"RC"},{"code":"43547035410","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Carbidopa / Levodopa 25 / 100 Mg Tab","code_information":[{"code":"4071570","type":"CDM"},{"code":"637","type":"RC"},{"code":"59651045701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Methadone 10 Mg Oral Tab","code_information":[{"code":"4070045","type":"CDM"},{"code":"637","type":"RC"},{"code":"40657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Benzonatate 100 Mg Oral","code_information":[{"code":"4073510","type":"CDM"},{"code":"250","type":"RC"},{"code":"42806071401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Citalopram 20 Mg Tab","code_information":[{"code":"4077002","type":"CDM"},{"code":"637","type":"RC"},{"code":"90460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Lithium Er 300 Mg Tab","code_information":[{"code":"4077004","type":"CDM"},{"code":"637","type":"RC"},{"code":"68084064001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Surgical Lubricant 5 Gm","code_information":[{"code":"4073888","type":"CDM"},{"code":"250","type":"RC"},{"code":"28102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Oxybutynin 5 Mg Oral Tab","code_information":[{"code":"4074187","type":"CDM"},{"code":"637","type":"RC"},{"code":"52817026010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Divalproex Er 500 Mg Oral","code_information":[{"code":"4077406","type":"CDM"},{"code":"250","type":"RC"},{"code":"65862059501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Carvedilol 12.5 Mg Oral Tab","code_information":[{"code":"4077661","type":"CDM"},{"code":"637","type":"RC"},{"code":"72888003601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Furosemide 40 Mg Oral Tab","code_information":[{"code":"4071244","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079007320","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Prazosin 5 Mg Oral Cap","code_information":[{"code":"4070038","type":"CDM"},{"code":"637","type":"RC"},{"code":"76282072301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Lisinopril 10 Mg Tab","code_information":[{"code":"4073591","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180051401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Glipizide 5 Mg Oral Tab","code_information":[{"code":"4070343","type":"CDM"},{"code":"637","type":"RC"},{"code":"60505014100","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Torsemide 20 Mg Oral Tab","code_information":[{"code":"4077028","type":"CDM"},{"code":"637","type":"RC"},{"code":"31722053101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Metoprolol Er (Succinate) 100 Mg Tab","code_information":[{"code":"4077081","type":"CDM"},{"code":"637","type":"RC"},{"code":"55111046801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Metoprolol 5 Mg / 5 Ml Vial","code_information":[{"code":"4073358","type":"CDM"},{"code":"636","type":"RC"},{"code":"40920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Phenobarbital 32.4  Mg Oral Tab","code_information":[{"code":"4074359","type":"CDM"},{"code":"637","type":"RC"},{"code":"16571067301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":324,"type":"ME"}},{"description":"Hydrochlorothiazide 25 Mg Oral Tab","code_information":[{"code":"4071204","type":"CDM"},{"code":"637","type":"RC"},{"code":"16729018301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Atenolol 25 Mg Oral Tab","code_information":[{"code":"4076012","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Topiramate 100 Mg Oral","code_information":[{"code":"4079233","type":"CDM"},{"code":"250","type":"RC"},{"code":"69097012403","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Montelukast 10 Mg Oral Tab","code_information":[{"code":"4077299","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862057490","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Methocarbamol 500 Mg Oral Tab","code_information":[{"code":"4077283","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Midodrine 2.5 Mg Oral Tab","code_information":[{"code":"4078437","type":"CDM"},{"code":"637","type":"RC"},{"code":"24502","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Levothyroxine 75 Mcg Oral Tab","code_information":[{"code":"4077325","type":"CDM"},{"code":"637","type":"RC"},{"code":"37818","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Cyanocobalamin 1000 Mcg Oral Tab","code_information":[{"code":"4077294","type":"CDM"},{"code":"637","type":"RC"},{"code":"54629058605","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Clonazepam 0.5 Mg Oral Tab","code_information":[{"code":"4076063","type":"CDM"},{"code":"637","type":"RC"},{"code":"93083","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Haloperidol 5 Mg Oral Tab","code_information":[{"code":"4071198","type":"CDM"},{"code":"637","type":"RC"},{"code":"68382007901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Amphetamine Salts 10 Mg","code_information":[{"code":"4077694","type":"CDM"},{"code":"250","type":"RC"},{"code":"42858072301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Potassium Chloride Er 10 Meq Oral Tab","code_information":[{"code":"4071412","type":"CDM"},{"code":"637","type":"RC"},{"code":"78157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lisinopril 5 Mg Tab","code_information":[{"code":"4076045","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Sucralfate 1 Gm Oral Tab","code_information":[{"code":"4071587","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762040101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Levothyroxine 50 Mcg Oral Tab","code_information":[{"code":"4071438","type":"CDM"},{"code":"637","type":"RC"},{"code":"74455","type":"CPT","modifier":"211"}],"standard_charges":[{"setting":"outpatient","modifier_code":["211"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Clonazepam 1 Mg Oral Tab","code_information":[{"code":"4077127","type":"CDM"},{"code":"637","type":"RC"},{"code":"72888015301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Diltiazem Er 120 Mg Oral Capsule","code_information":[{"code":"4076095","type":"CDM"},{"code":"637","type":"RC"},{"code":"50742024830","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Buprenorphine 2 Mg / Naloxone 0.5 Mg Tab","code_information":[{"code":"4077482","type":"CDM"},{"code":"637","type":"RC"},{"code":"62756096983","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Metronidazole 250 Mg Oral Tab","code_information":[{"code":"4071180","type":"CDM"},{"code":"637","type":"RC"},{"code":"90414","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Lamotrigine 25 Mg Oral Tab","code_information":[{"code":"4079194","type":"CDM"},{"code":"637","type":"RC"},{"code":"62332003731","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Allopurinol 100 Mg Oral","code_information":[{"code":"4071520","type":"CDM"},{"code":"250","type":"RC"},{"code":"29300034901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Hydralazine 10 Mg Oral","code_information":[{"code":"4071025","type":"CDM"},{"code":"250","type":"RC"},{"code":"51079007420","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Sulfamethoxazole/trimethoprim 800/160mg","code_information":[{"code":"4071053","type":"CDM"},{"code":"250","type":"RC"},{"code":"57237023301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Cyproheptadine 4 Mg Oral Tab","code_information":[{"code":"4071339","type":"CDM"},{"code":"637","type":"RC"},{"code":"50742019001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Amitriptyline 25 Mg Oral","code_information":[{"code":"4071524","type":"CDM"},{"code":"250","type":"RC"},{"code":"51079010720","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Topiramate 25 Mg Oral","code_information":[{"code":"4077369","type":"CDM"},{"code":"250","type":"RC"},{"code":"68084034201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Donepezil 5 Mg Oral","code_information":[{"code":"4077076","type":"CDM"},{"code":"250","type":"RC"},{"code":"13668010290","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Oxycodone Ir 10 Mg Oral","code_information":[{"code":"4070221","type":"CDM"},{"code":"250","type":"RC"},{"code":"42858000210","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Perphenazine 2 Mg Oral Tab","code_information":[{"code":"4076013","type":"CDM"},{"code":"637","type":"RC"},{"code":"60350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Aripiprazole 2 Mg Tab","code_information":[{"code":"4078898","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862066130","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Amoxicillin 250 Mg Oral Cap","code_information":[{"code":"4071349","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862001601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Carvedilol 3.125 Mg Oral Tab","code_information":[{"code":"4079198","type":"CDM"},{"code":"637","type":"RC"},{"code":"68382009201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":3125,"type":"ME"}},{"description":"Benztropine 1 Mg Oral","code_information":[{"code":"4071090","type":"CDM"},{"code":"250","type":"RC"},{"code":"60324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Pramipexole 0.25 Mg Oral Tab","code_information":[{"code":"4077201","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462033190","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Levothyroxine 112 Mcg Oral Tab","code_information":[{"code":"4078971","type":"CDM"},{"code":"637","type":"RC"},{"code":"72305011230","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":112,"type":"ME"}},{"description":"Lithium 300 Mg Cap","code_information":[{"code":"4074405","type":"CDM"},{"code":"637","type":"RC"},{"code":"54852","type":"CPT","modifier":"725"}],"standard_charges":[{"setting":"outpatient","modifier_code":["725"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Risperidone 0.5 Mg Oral","code_information":[{"code":"4076179","type":"CDM"},{"code":"250","type":"RC"},{"code":"27241000306","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Haloperidol 5 Mg / Ml Vial","code_information":[{"code":"4074310","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323047400","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Loperamide 2 Mg Oral Cap","code_information":[{"code":"4073380","type":"CDM"},{"code":"637","type":"RC"},{"code":"42799060501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Ibuprofen Susp 200 Mg /10 Ml Syringe","code_information":[{"code":"4078508","type":"CDM"},{"code":"250","type":"RC"},{"code":"68094050359","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Sodium Chloride 1 Gm Tab","code_information":[{"code":"4079074","type":"CDM"},{"code":"637","type":"RC"},{"code":"22317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Finasteride 5 Mg Oral Tab","code_information":[{"code":"4076177","type":"CDM"},{"code":"637","type":"RC"},{"code":"16729009015","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Naproxen 250 Mg Oral Tab","code_information":[{"code":"4071278","type":"CDM"},{"code":"637","type":"RC"},{"code":"65162018810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Duloxetine 20 Mg Oral Cap","code_information":[{"code":"4077763","type":"CDM"},{"code":"637","type":"RC"},{"code":"51991074690","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Nitroglycerin 0.4 Mg Sl Tab","code_information":[{"code":"4071547","type":"CDM"},{"code":"637","type":"RC"},{"code":"71041","type":"CPT","modifier":"813"}],"standard_charges":[{"setting":"outpatient","modifier_code":["813"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Bupropion 100 Mg Oral Tab","code_information":[{"code":"4074435","type":"CDM"},{"code":"637","type":"RC"},{"code":"24689012001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lorazepam 2 Mg Oral Tab","code_information":[{"code":"4077248","type":"CDM"},{"code":"637","type":"RC"},{"code":"93342","type":"CPT","modifier":"701"}],"standard_charges":[{"setting":"outpatient","modifier_code":["701"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Morphine Cr 15 Mg Oral","code_information":[{"code":"4075047","type":"CDM"},{"code":"250","type":"RC"},{"code":"40683","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Celecoxib 200 Mg Oral Cap","code_information":[{"code":"4077111","type":"CDM"},{"code":"637","type":"RC"},{"code":"54868410108","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Amphetamine Salts Er 10 Mg Cap","code_information":[{"code":"4077496","type":"CDM"},{"code":"637","type":"RC"},{"code":"42858061001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Cholecalciferol (Vitamin D3) 10 Mcg","code_information":[{"code":"4074194","type":"CDM"},{"code":"250","type":"RC"},{"code":"90458","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Fluoxetine 10 Mg Oral Cap","code_information":[{"code":"4076060","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714072002","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Rivaroxaban 10 Mg Oral","code_information":[{"code":"4079126","type":"CDM"},{"code":"250","type":"RC"},{"code":"50458058030","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Warfarin 1 Mg Oral Tab","code_information":[{"code":"4075034","type":"CDM"},{"code":"637","type":"RC"},{"code":"93171","type":"CPT","modifier":"201"}],"standard_charges":[{"setting":"outpatient","modifier_code":["201"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Meclizine 25 Mg Oral Tab","code_information":[{"code":"4071023","type":"CDM"},{"code":"637","type":"RC"},{"code":"65162044210","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Phenazopyridine 95 Mg Oral Tab","code_information":[{"code":"4071380","type":"CDM"},{"code":"637","type":"RC"},{"code":"49348007644","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":95,"type":"ME"}},{"description":"Isosorbide Mononitrate Er 30 Mg Oral","code_information":[{"code":"4077020","type":"CDM"},{"code":"250","type":"RC"},{"code":"23155051901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Cefuroxime 250 Mg Oral Tab","code_information":[{"code":"4074180","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714040001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Prednisone 5 Mg Oral Tab","code_information":[{"code":"4071121","type":"CDM"},{"code":"636","type":"RC"},{"code":"54872","type":"CPT","modifier":"425"}],"standard_charges":[{"setting":"outpatient","modifier_code":["425"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Throat Lozenge","code_information":[{"code":"4071866","type":"CDM"},{"code":"637","type":"RC"},{"code":"12546062749","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Guaifenesin 200 Mg (10 Ml)","code_information":[{"code":"4079096","type":"CDM"},{"code":"250","type":"RC"},{"code":"70677118601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Phosphorous Sodium And Potassium Powder","code_information":[{"code":"4078538","type":"CDM"},{"code":"250","type":"RC"},{"code":"60258000601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Albuterol 2.5 Mg / 0.5 Ml (0.5%) Neb","code_information":[{"code":"4079045","type":"CDM"},{"code":"250","type":"RC"},{"code":"48799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ascorbic Acid 500 Mg Oral Tab","code_information":[{"code":"4073480","type":"CDM"},{"code":"637","type":"RC"},{"code":"90405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Divalproex Er 250 Mg Oral","code_information":[{"code":"4077490","type":"CDM"},{"code":"250","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Olanzapine 20 Mg Tab","code_information":[{"code":"4070128","type":"CDM"},{"code":"637","type":"RC"},{"code":"55111016830","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Paroxetine 20 Mg Oral Tab","code_information":[{"code":"4075067","type":"CDM"},{"code":"637","type":"RC"},{"code":"63739096310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Diltiazem 30 Mg Oral Tab","code_information":[{"code":"4071595","type":"CDM"},{"code":"637","type":"RC"},{"code":"50228048101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Venlafaxine Er 37.5 Mg Oral Cap","code_information":[{"code":"4077141","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862052790","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":375,"type":"ME"}},{"description":"Dicyclomine 10 Mg Oral","code_information":[{"code":"4074152","type":"CDM"},{"code":"250","type":"RC"},{"code":"51079011820","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Ipratropium 0.5 Mg / 2.5 Ml (0.02%) Neb","code_information":[{"code":"4076099","type":"CDM"},{"code":"250","type":"RC"},{"code":"76204010001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Clozapine 25 Mg Oral","code_information":[{"code":"4075064","type":"CDM"},{"code":"250","type":"RC"},{"code":"37808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Alprazolam 0.25 Mg Oral Tab","code_information":[{"code":"4073941","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762371901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Memantine 10 Mg Oral Tab","code_information":[{"code":"4077758","type":"CDM"},{"code":"637","type":"RC"},{"code":"83211","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Simethicone 80 Mg Oral Tab","code_information":[{"code":"4071273","type":"CDM"},{"code":"637","type":"RC"},{"code":"69618003301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Methadone 5 Mg Oral Tab","code_information":[{"code":"4074238","type":"CDM"},{"code":"637","type":"RC"},{"code":"40657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Sodium Bicarbonate 650 Mg Oral","code_information":[{"code":"4078457","type":"CDM"},{"code":"250","type":"RC"},{"code":"22317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":650,"type":"ME"}},{"description":"Amantadine 100 Mg Oral Cap","code_information":[{"code":"4077017","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268006911","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Valacyclovir 500 Mg Oral","code_information":[{"code":"4077742","type":"CDM"},{"code":"250","type":"RC"},{"code":"31722070430","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Fluvoxamine 50 Mg Oral Tab","code_information":[{"code":"4076182","type":"CDM"},{"code":"637","type":"RC"},{"code":"62559015901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Divalproex Dr 250 Mg Oral","code_information":[{"code":"4076100","type":"CDM"},{"code":"250","type":"RC"},{"code":"29300013901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Cefdinir 300 Mg Oral Capsule","code_information":[{"code":"4079110","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877054360","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Acyclovir Oral 200 Mg Cap","code_information":[{"code":"4074333","type":"CDM"},{"code":"637","type":"RC"},{"code":"60505004206","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Fluconazole 100 Mg Oral Tab","code_information":[{"code":"4077400","type":"CDM"},{"code":"637","type":"RC"},{"code":"62559099130","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Nortriptyline 25 Mg Oral Cap","code_information":[{"code":"4073427","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672400201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Colchicine 0.6 Mg Oral Tab","code_information":[{"code":"4071093","type":"CDM"},{"code":"637","type":"RC"},{"code":"59651045530","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Metoclopramide Oral 10 Mg Oral Tab","code_information":[{"code":"4071565","type":"CDM"},{"code":"637","type":"RC"},{"code":"93220","type":"CPT","modifier":"301"}],"standard_charges":[{"setting":"outpatient","modifier_code":["301"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Carbamazepine 200 Mg Oral","code_information":[{"code":"4071450","type":"CDM"},{"code":"250","type":"RC"},{"code":"13668026801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Omeprazole 20 Mg Oral Cap","code_information":[{"code":"4079141","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714063401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Needle 18gx1.5","code_information":[{"code":"3270300","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3270300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Penicillin Vk 250 Mg Oral Tab","code_information":[{"code":"4071499","type":"CDM"},{"code":"637","type":"RC"},{"code":"57237004001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Ropinirole 1 Mg Oral","code_information":[{"code":"4078029","type":"CDM"},{"code":"250","type":"RC"},{"code":"68462025501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Metoprolol (Tartrate) 100 Mg Tab","code_information":[{"code":"4073351","type":"CDM"},{"code":"637","type":"RC"},{"code":"62584026701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Prednisone 10 Mg Oral Tab","code_information":[{"code":"4073322","type":"CDM"},{"code":"636","type":"RC"},{"code":"54001","type":"CPT","modifier":"720"}],"standard_charges":[{"setting":"outpatient","modifier_code":["720"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Kit/blood Gas 4629p-2 (Concord Labs)","code_information":[{"code":"3254075","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Phenytoin Er 100 Mg Oral Capsule","code_information":[{"code":"4071146","type":"CDM"},{"code":"637","type":"RC"},{"code":"71036","type":"CPT","modifier":"924"}],"standard_charges":[{"setting":"outpatient","modifier_code":["924"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Amiodarone 200 Mg Oral Tab","code_information":[{"code":"4076091","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672402504","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Carbamazepine Er 100 Mg Oral","code_information":[{"code":"4078156","type":"CDM"},{"code":"250","type":"RC"},{"code":"83260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Heparin Pf 10 Units / Ml (5 Ml) Syringe","code_information":[{"code":"4077630","type":"CDM"},{"code":"636","type":"RC"},{"code":"8290306414","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Guaifenesin/dxm 200 / 20 Mg (10 Ml)","code_information":[{"code":"4078925","type":"CDM"},{"code":"250","type":"RC"},{"code":"54838020940","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Diazepam 2 Mg Tab","code_information":[{"code":"4071734","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079028420","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Acetaminophen Susp 160 Mg / 5 Ml Syringe","code_information":[{"code":"4078505","type":"CDM"},{"code":"250","type":"RC"},{"code":"50580017001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Lactase 3000 Unit Oral Cap","code_information":[{"code":"4077627","type":"CDM"},{"code":"637","type":"RC"},{"code":"90452","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":3000,"type":"UN"}},{"description":"Vitamin B Complex","code_information":[{"code":"4077270","type":"CDM"},{"code":"250","type":"RC"},{"code":"54629056001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Estradiol 1 Mg Oral","code_information":[{"code":"4074248","type":"CDM"},{"code":"250","type":"RC"},{"code":"37814","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Psyllium Hydrophilic Mucilloid","code_information":[{"code":"4072720","type":"CDM"},{"code":"250","type":"RC"},{"code":"38485080857","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Divalproex Sprinkles Dr 125 Mg Oral","code_information":[{"code":"4077124","type":"CDM"},{"code":"250","type":"RC"},{"code":"68382010601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Levothyroxine 88 Mcg Oral Tab","code_information":[{"code":"4079227","type":"CDM"},{"code":"637","type":"RC"},{"code":"74659","type":"CPT","modifier":"490"}],"standard_charges":[{"setting":"outpatient","modifier_code":["490"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":88,"type":"ME"}},{"description":"Methylphenidate 10 Mg Oral","code_information":[{"code":"4078219","type":"CDM"},{"code":"250","type":"RC"},{"code":"40611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Fluoresceine Sodium Strip","code_information":[{"code":"4073905","type":"CDM"},{"code":"250","type":"RC"},{"code":"17478040401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lurasidone 20 Mg Oral Tab","code_information":[{"code":"4078906","type":"CDM"},{"code":"637","type":"RC"},{"code":"72205020730","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Divalproex Dr 500 Mg Oral","code_information":[{"code":"4076302","type":"CDM"},{"code":"250","type":"RC"},{"code":"57237004801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Zolpidem 5 Mg Oral Tablet","code_information":[{"code":"4076105","type":"CDM"},{"code":"637","type":"RC"},{"code":"16714062101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Lithium Er 450 Mg Tab","code_information":[{"code":"4075046","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462022401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":450,"type":"ME"}},{"description":"Diltiazem Er 180 Mg Oral Capsule","code_information":[{"code":"4076017","type":"CDM"},{"code":"637","type":"RC"},{"code":"47335067081","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":180,"type":"ME"}},{"description":"Hydroxyzine 10 Mg Oral","code_information":[{"code":"4077553","type":"CDM"},{"code":"250","type":"RC"},{"code":"63739048310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Morphine Ir 15 Mg Oral","code_information":[{"code":"4076161","type":"CDM"},{"code":"250","type":"RC"},{"code":"83202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Verapamil 80 Mg Oral Tab","code_information":[{"code":"4071575","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155002601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Cilostazol 50 Mg Oral Tab","code_information":[{"code":"4077468","type":"CDM"},{"code":"637","type":"RC"},{"code":"93206","type":"CPT","modifier":"506"}],"standard_charges":[{"setting":"outpatient","modifier_code":["506"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Amitriptyline 10 Mg Oral","code_information":[{"code":"4073336","type":"CDM"},{"code":"250","type":"RC"},{"code":"70756020111","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Levofloxacin 750 Mg Oral Tab","code_information":[{"code":"4078014","type":"CDM"},{"code":"637","type":"RC"},{"code":"55111028130","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"Ibuprofen Susp 100 Mg / 5 Ml Syringe","code_information":[{"code":"4078507","type":"CDM"},{"code":"250","type":"RC"},{"code":"51672213008","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Diltiazem 60 Mg Oral Tab","code_information":[{"code":"4071625","type":"CDM"},{"code":"637","type":"RC"},{"code":"93031","type":"CPT","modifier":"901"}],"standard_charges":[{"setting":"outpatient","modifier_code":["901"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Bisacodyl 10 Mg Suppository","code_information":[{"code":"4072226","type":"CDM"},{"code":"250","type":"RC"},{"code":"71399846002","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Warfarin 5 Mg Oral Tab","code_information":[{"code":"4071108","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Ketorolac 10 Mg Oral","code_information":[{"code":"4075030","type":"CDM"},{"code":"250","type":"RC"},{"code":"93031","type":"CPT","modifier":"401"}],"standard_charges":[{"setting":"outpatient","modifier_code":["401"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Fish Oil 1000 Mg Oral Cap","code_information":[{"code":"4078124","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Sulfasalazine 500 Mg Oral","code_information":[{"code":"4071047","type":"CDM"},{"code":"250","type":"RC"},{"code":"59762500006","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Bisacodyl 5 Mg Tab","code_information":[{"code":"4071164","type":"CDM"},{"code":"637","type":"RC"},{"code":"57896044101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Labetalol 100 Mg Oral Tab","code_information":[{"code":"4073705","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155072301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lidocaine 4% Topical Patch","code_information":[{"code":"4070223","type":"CDM"},{"code":"250","type":"RC"},{"code":"53612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Doxepin 10 Mg Oral Cap","code_information":[{"code":"4071407","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672421701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Fludrocortisone 0.1 Mg Oral","code_information":[{"code":"4071181","type":"CDM"},{"code":"250","type":"RC"},{"code":"68084028801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Isosorbide Dinitrate 10 Mg Oral Tab","code_information":[{"code":"4071224","type":"CDM"},{"code":"637","type":"RC"},{"code":"68084008201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Oxcarbazepine 300 Mg Oral Tab","code_information":[{"code":"4077492","type":"CDM"},{"code":"637","type":"RC"},{"code":"62756018488","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Alprazolam 1 Mg Oral Tab","code_information":[{"code":"4070068","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762372101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Levofloxacin 250 Mg Oral Tab","code_information":[{"code":"4079223","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862053650","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Carbidopa / Levodopa Er 50 / 200 Mg Tab","code_information":[{"code":"4076112","type":"CDM"},{"code":"637","type":"RC"},{"code":"16729007901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Lidocaine-mpf 1% (2 Ml)","code_information":[{"code":"4070209","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323049227","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Doxazosin 2 Mg Oral","code_information":[{"code":"4077060","type":"CDM"},{"code":"250","type":"RC"},{"code":"59762232006","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Prednisolone 15 Mg / 5 Ml (Chargeper1ml)","code_information":[{"code":"4076249","type":"CDM"},{"code":"636","type":"RC"},{"code":"12107","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Bumetanide 1 Mg Oral","code_information":[{"code":"4073558","type":"CDM"},{"code":"250","type":"RC"},{"code":"69238149001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Silver Nitrate Applicators","code_information":[{"code":"4073999","type":"CDM"},{"code":"250","type":"RC"},{"code":"12870000102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Digoxin 0.125 Mg Oral Tab","code_information":[{"code":"4071141","type":"CDM"},{"code":"637","type":"RC"},{"code":"70954020110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Verapamil Er 120 Mg Oral Tab","code_information":[{"code":"4076277","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462029201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Acetaminophen/codeine 300 Mg / 30mg Oral","code_information":[{"code":"4073952","type":"CDM"},{"code":"250","type":"RC"},{"code":"40604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Haloperidol 1 Mg Oral Tab","code_information":[{"code":"4071197","type":"CDM"},{"code":"637","type":"RC"},{"code":"83215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Promethazine 25 Mg Oral Tab","code_information":[{"code":"4071345","type":"CDM"},{"code":"637","type":"RC"},{"code":"10702000301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Diphenhydramine 12.5 Mg / 5 Ml Oral","code_information":[{"code":"4078503","type":"CDM"},{"code":"636","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Diphenoxylate / Atropine 2.5/0.025 Mg","code_information":[{"code":"4071719","type":"CDM"},{"code":"250","type":"RC"},{"code":"37804","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Saline Nasal Spray","code_information":[{"code":"4071896","type":"CDM"},{"code":"250","type":"RC"},{"code":"90438","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Doxepin 25 Mg Oral Cap","code_information":[{"code":"4071408","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079043720","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Nabumetone 500 Mg Oral Tab","code_information":[{"code":"4076286","type":"CDM"},{"code":"637","type":"RC"},{"code":"18501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Nifedipine Er 30 Mg Oral","code_information":[{"code":"4074325","type":"CDM"},{"code":"250","type":"RC"},{"code":"93205","type":"CPT","modifier":"701"}],"standard_charges":[{"setting":"outpatient","modifier_code":["701"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Lithium 150 Mg Cap","code_information":[{"code":"4077623","type":"CDM"},{"code":"637","type":"RC"},{"code":"54852","type":"CPT","modifier":"625"}],"standard_charges":[{"setting":"outpatient","modifier_code":["625"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Terazosin 1 Mg Oral Cap","code_information":[{"code":"4076138","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079093620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Chlorthalidone 25 Mg Oral","code_information":[{"code":"4077261","type":"CDM"},{"code":"250","type":"RC"},{"code":"27241021601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Tizanidine 2 Mg Oral","code_information":[{"code":"4070267","type":"CDM"},{"code":"250","type":"RC"},{"code":"16714017101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Calcium Acetate 667 Mg Oral Tab","code_information":[{"code":"4076051","type":"CDM"},{"code":"637","type":"RC"},{"code":"54008","type":"CPT","modifier":"826"}],"standard_charges":[{"setting":"outpatient","modifier_code":["826"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":667,"type":"ME"}},{"description":"Clonazepam 2 Mg Oral Tab","code_information":[{"code":"4077247","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079088320","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Warfarin 2.5 Mg Oral Tab","code_information":[{"code":"4071107","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Butalbital/apap/caffeine 50/325/40mg Tab","code_information":[{"code":"4076207","type":"CDM"},{"code":"637","type":"RC"},{"code":"71205098130","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Metolazone 2.5 Mg Oral","code_information":[{"code":"4071602","type":"CDM"},{"code":"250","type":"RC"},{"code":"65580064371","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ceftriaxone 250 Mg Vial","code_information":[{"code":"4073557","type":"CDM"},{"code":"636","type":"RC"},{"code":"40973","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Indomethacin 25 Mg Oral Cap","code_information":[{"code":"4071217","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462040601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Methimazole 5 Mg Oral Tab","code_information":[{"code":"4077183","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155007001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Carbidopa / Levodopa 25 / 250 Mg Tab","code_information":[{"code":"4071406","type":"CDM"},{"code":"637","type":"RC"},{"code":"22825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Vitamin E 400 Units","code_information":[{"code":"4073503","type":"CDM"},{"code":"250","type":"RC"},{"code":"57896075201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"UN"}},{"description":"Prochlorperazine 10 Mg Tab","code_information":[{"code":"4079037","type":"CDM"},{"code":"636","type":"RC"},{"code":"72603016901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Primidone 50 Mg Oral Tab","code_information":[{"code":"4077803","type":"CDM"},{"code":"637","type":"RC"},{"code":"69584068410","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"White Petrolatum Jelly Pkt (5 Gm)","code_information":[{"code":"4077161","type":"CDM"},{"code":"250","type":"RC"},{"code":"57896016414","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nf Aspirin Ec 325 Mg Oral Tab","code_information":[{"code":"4071577","type":"CDM"},{"code":"637","type":"RC"},{"code":"63629176203","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Buprenorphine 8 Mg Sl Tab","code_information":[{"code":"4070273","type":"CDM"},{"code":"250","type":"RC"},{"code":"42858050203","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":8,"type":"ME"}},{"description":"Prednisone 1 Mg Oral Tab","code_information":[{"code":"4077618","type":"CDM"},{"code":"637","type":"RC"},{"code":"60353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Sodium Chloride 3% Resp (15 Ml) Hyprtnc","code_information":[{"code":"4078358","type":"CDM"},{"code":"636","type":"RC"},{"code":"37869","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Acetaminophen Suppository 650 Mg","code_information":[{"code":"4072213","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802073030","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":650,"type":"ME"}},{"description":"Digoxin 0.25 Mg Oral Tab","code_information":[{"code":"4071142","type":"CDM"},{"code":"637","type":"RC"},{"code":"90459","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Methylprednisolone 4 Mg Oral Tab","code_information":[{"code":"4071257","type":"CDM"},{"code":"636","type":"RC"},{"code":"59762444002","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Bacitracin-neomycin-polymyxin Top 0.9 G","code_information":[{"code":"4078479","type":"CDM"},{"code":"250","type":"RC"},{"code":"16800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":9,"type":"GR"}},{"description":"Imipramine 50 Mg Oral Tab","code_information":[{"code":"4079127","type":"CDM"},{"code":"637","type":"RC"},{"code":"69584042710","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Verapamil Er 180 Mg Oral Tab","code_information":[{"code":"4074441","type":"CDM"},{"code":"637","type":"RC"},{"code":"75834015801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":180,"type":"ME"}},{"description":"Triamterene / Hctz 37.5 Mg / 25 Mg Cap","code_information":[{"code":"4071165","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079093520","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":375,"type":"ME"}},{"description":"Chlordiazepoxide 5 Mg Oral Cap","code_information":[{"code":"4074358","type":"CDM"},{"code":"637","type":"RC"},{"code":"55501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Acetaminophen Suppository 120 Mg","code_information":[{"code":"4073411","type":"CDM"},{"code":"250","type":"RC"},{"code":"45802073230","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Glycerin Suppository Adult","code_information":[{"code":"4072227","type":"CDM"},{"code":"250","type":"RC"},{"code":"13200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Calcitriol 0.25 Mcg Oral Tab","code_information":[{"code":"4078147","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155011803","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Methotrexate 2.5 Mg Oral Tab","code_information":[{"code":"4077231","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079067005","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Medroxyprogesterone 2.5 Mg Oral Tab","code_information":[{"code":"4079199","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762005501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Sulfamethoxazole/tmp 400mg/80mg/10 Ml Po","code_information":[{"code":"4076247","type":"CDM"},{"code":"250","type":"RC"},{"code":"54879000716","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Cholecalciferol (Vitamin D3) 1250 Mcg","code_information":[{"code":"4078232","type":"CDM"},{"code":"250","type":"RC"},{"code":"75834002012","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Cath Suction 18fr  31800","code_information":[{"code":"3253051","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Tetracycline 250 Mg Oral Cap","code_information":[{"code":"4071433","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155001701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Continuous Neb W Albuterol 2.5mg/0.5ml","code_information":[{"code":"4078423","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ns Flush (10 Ml / 12 Ml)","code_information":[{"code":"4077628","type":"CDM"},{"code":"250","type":"RC"},{"code":"8290306546","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Sotalol 120 Mg Oral","code_information":[{"code":"4077367","type":"CDM"},{"code":"250","type":"RC"},{"code":"60505015900","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Diphenhydramine 25 Mg / 10 Ml Oral Syr","code_information":[{"code":"4078504","type":"CDM"},{"code":"636","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Insulin Pen Needle Short 31g 8 Mm","code_information":[{"code":"4070177","type":"CDM"},{"code":"250","type":"RC"},{"code":"8290320109","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":31,"type":"GR"}},{"description":"Nitroglycerin 0.1mg/hr Patch","code_information":[{"code":"4074205","type":"CDM"},{"code":"250","type":"RC"},{"code":"47781029603","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Sotalol 80 Mg Oral","code_information":[{"code":"4077129","type":"CDM"},{"code":"250","type":"RC"},{"code":"60505008000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Hyoscyamine 0.125 Mg (Oral/sl)","code_information":[{"code":"4077126","type":"CDM"},{"code":"250","type":"RC"},{"code":"42192034001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Pseudoephedrine 30 Mg Oral Tab","code_information":[{"code":"4074312","type":"CDM"},{"code":"637","type":"RC"},{"code":"90450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Vitamin A & D Ointment","code_information":[{"code":"4072002","type":"CDM"},{"code":"250","type":"RC"},{"code":"11523720401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Norethindrone Acetate 5 Mg Oral Tab","code_information":[{"code":"4070225","type":"CDM"},{"code":"637","type":"RC"},{"code":"50742026750","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Furosemide  Infusion  [1 Mg / Ml]","code_information":[{"code":"4077631","type":"CDM"},{"code":"636","type":"RC"},{"code":"40961","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Reminder To Md-make Tranexamic Stat","code_information":[{"code":"4079054","type":"CDM"},{"code":"250","type":"RC"},{"code":"13111","type":"CPT","modifier":"410"}],"standard_charges":[{"setting":"outpatient","modifier_code":["410"],"minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ceftriaxone 500 Mg Vial","code_information":[{"code":"4077052","type":"CDM"},{"code":"636","type":"RC"},{"code":"40973","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Misoprostol 100 Mcg Oral Tab","code_information":[{"code":"4070053","type":"CDM"},{"code":"259","type":"RC"},{"code":"10135074560","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Warfarindosing By Pharmacy","code_information":[{"code":"4078417","type":"CDM"},{"code":"259","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cath Suction 6fr Dynd41906","code_information":[{"code":"3251660","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251660","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Strap/buddy 5/8  #5647","code_information":[{"code":"3258697","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258697","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Strap/montgomery","code_information":[{"code":"3252015","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3252015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}]},{"description":"Flavored Diluent (Cherry Syrup)","code_information":[{"code":"4077285","type":"CDM"},{"code":"259","type":"RC"},{"code":"39526","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sodium Chloride 10% (15 Ml) Ud","code_information":[{"code":"4077041","type":"CDM"},{"code":"259","type":"RC"},{"code":"37869","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Pharma-wipe Plus","code_information":[{"code":"4078932","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Caffeine  200 Mg Oral*","code_information":[{"code":"4078999","type":"CDM"},{"code":"250","type":"RC"},{"code":"37205019573","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Hydroxychloroquine  200 Mg Oral Tab","code_information":[{"code":"4077267","type":"CDM"},{"code":"637","type":"RC"},{"code":"50090250801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":2801,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Naltrexone 1 Mg / Ml Oral Susp (100 Ml)","code_information":[{"code":"4070031","type":"CDM"},{"code":"250","type":"RC"},{"code":"40611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"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":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":3},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":2},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Bmi Normal No Follow Up Mv","code_information":[{"code":"4090620","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8420","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Bmi Not Met Doc Outside Norm No Fu Mv","code_information":[{"code":"4090626","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8419","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Bmi Not Met Not Doc No Reason Mv","code_information":[{"code":"4090625","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8421","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Risk Assessment","code_information":[{"code":"4090643","type":"CDM"},{"code":"420","type":"RC"},{"code":"3288F","type":"CPT"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Risk Not Completed Unspecified","code_information":[{"code":"4090651","type":"CDM"},{"code":"420","type":"RC"},{"code":"CP4090651","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Screen No Falls Or 2 Fall Wout Inj","code_information":[{"code":"4090648","type":"CDM"},{"code":"420","type":"RC"},{"code":"1101F","type":"CPT"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Exclus Not Elig","code_information":[{"code":"4090640","type":"CDM"},{"code":"420","type":"RC"},{"code":"G9227","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Exclus Nt Docum Not Elig Mv","code_information":[{"code":"4090639","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8540","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Met Assess 30 Days Docum Mv","code_information":[{"code":"4090638","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8942","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Met Assess No Deficiences Mv","code_information":[{"code":"4090637","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8542","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Met Positive Doc Care Plan Mv","code_information":[{"code":"4090636","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8539","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Not Met No Reason Mv","code_information":[{"code":"4090641","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8541","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Function Nt Met Positive No Reason Mv","code_information":[{"code":"4090642","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8543","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Medication Documented Mv","code_information":[{"code":"4090633","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8427","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Medication Documented Not Elig Mv","code_information":[{"code":"4090634","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8430","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Medication Nt Docoument No Reason Mv","code_information":[{"code":"4090635","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8428","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Patient Scrnd  2+falls Past Year Or Injj","code_information":[{"code":"4090644","type":"CDM"},{"code":"420","type":"RC"},{"code":"1100F","type":"CPT"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Clindamycin  Syringe","code_information":[{"code":"4078094","type":"CDM"},{"code":"250","type":"RC"},{"code":"49281040010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Catheter Suction 12fr","code_information":[{"code":"3700859","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4624","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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Insulin Glargine U-100 (Long-acting)","code_information":[{"code":"4077403","type":"CDM"},{"code":"637","type":"RC"},{"code":"88222","type":"CPT","modifier":"33"}],"standard_charges":[{"setting":"outpatient","modifier_code":["33"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Insulin Lispro U-100 (Short-acting)","code_information":[{"code":"4078155","type":"CDM"},{"code":"637","type":"RC"},{"code":"27533","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Insulin Regular U-100","code_information":[{"code":"4078154","type":"CDM"},{"code":"637","type":"RC"},{"code":"28215","type":"CPT","modifier":"17"}],"standard_charges":[{"setting":"outpatient","modifier_code":["17"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Insulin Isophane/regular 70/30 U-100","code_information":[{"code":"4074420","type":"CDM"},{"code":"637","type":"RC"},{"code":"28715","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Insulin Nph U-100","code_information":[{"code":"4077222","type":"CDM"},{"code":"637","type":"RC"},{"code":"28315","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cath/all Purpose 10fr","code_information":[{"code":"3251620","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3251620","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Cath Suction 14fr 31420","code_information":[{"code":"3253050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253050","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Cath/all Purpose 16fr 94160","code_information":[{"code":"3253272","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253272","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"White Petrolatum Jelly 1 Oz","code_information":[{"code":"4073886","type":"CDM"},{"code":"250","type":"RC"},{"code":"16800","type":"CPT"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cath/suction 10fr","code_information":[{"code":"3255740","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3255740","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Cath/gentle 8fr # Dynd41908","code_information":[{"code":"3253048","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3253048","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Midazolam  50 Mg / Ns 50 Ml","code_information":[{"code":"4077756","type":"CDM"},{"code":"636","type":"RC"},{"code":"40925","type":"CPT"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Dressing/tegaderm 1620 2x2.25","code_information":[{"code":"3254286","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP3254286","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Microsponge Green Sharp Tip #8065-1000-3","code_information":[{"code":"3254038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3254038","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Adult Travel Kit- Ed Pyxis","code_information":[{"code":"4070021","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Anesthesia Endoscopy Kit","code_information":[{"code":"4079115","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP4079115","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Iva-security Seal#cp3004r","code_information":[{"code":"4077809","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Iva-security Seal#cp3011b","code_information":[{"code":"4077810","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Pedi Travel Kit- Ed Pyxis","code_information":[{"code":"4070020","type":"CDM"},{"code":"250","type":"RC"},{"code":"99999999999","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Saline Flush 0.9% (3ml)","code_information":[{"code":"4078285","type":"CDM"},{"code":"250","type":"RC"},{"code":"63807010035","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":3,"type":"ML"}},{"description":"Sodium Chloride 0.9% Resp (3 Ml)","code_information":[{"code":"4077721","type":"CDM"},{"code":"250","type":"RC"},{"code":"48793","type":"CPT"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":3,"type":"ML"}},{"description":"Fall Risk Assessment Exclude Med Reason","code_information":[{"code":"4090646-1P","type":"CDM"},{"code":"420","type":"RC"},{"code":"3288F","type":"CPT","modifier":"1P"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1P"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Falls Plan Of Care Excluded Medical","code_information":[{"code":"4090653-1P","type":"CDM"},{"code":"420","type":"RC"},{"code":"0518F","type":"CPT","modifier":"1P"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1P"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Risk Assessment Not Performed","code_information":[{"code":"4090650-8P","type":"CDM"},{"code":"420","type":"RC"},{"code":"3288F","type":"CPT","modifier":"8P"}],"standard_charges":[{"setting":"outpatient","modifier_code":["8P"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Status Not Documented","code_information":[{"code":"4090649-8P","type":"CDM"},{"code":"420","type":"RC"},{"code":"1101F","type":"CPT","modifier":"8P"}],"standard_charges":[{"setting":"outpatient","modifier_code":["8P"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Falls Plan Of Care Not Documented","code_information":[{"code":"4090654-8P","type":"CDM"},{"code":"420","type":"RC"},{"code":"0518F","type":"CPT","modifier":"8P"}],"standard_charges":[{"setting":"outpatient","modifier_code":["8P"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Bmi Above Normal W Follow Up Mv","code_information":[{"code":"4090621-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8417","type":"HCPCS","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Bmi Below Normal With Follow Up Mv","code_information":[{"code":"4090622-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"G8418","type":"HCPCS","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Risk Assessment 2+falls Or Injury","code_information":[{"code":"4090645-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"1100F","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Fall Risk Exclude Med Rsn 2 Falls Injury","code_information":[{"code":"4090647-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"1100F","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Falls Plan Of Care Documented","code_information":[{"code":"4090652-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"0518F","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Handle/suction Flexi-clear #K-62","code_information":[{"code":"3258059","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3258059","type":"LOCAL"}],"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":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":2},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Commercial","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":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Kerlix Gauze 2.25  #6720","code_information":[{"code":"3275078","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3275078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":2,"gross_charge":2,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Gastrocult Straws (App Stiks) #66140a","code_information":[{"code":"3250467","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP3250467","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":2,"gross_charge":2,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Tetanus, Diphtheria, & Pertussis (State)","code_information":[{"code":"4078093","type":"CDM"},{"code":"636","type":"RC"},{"code":"49281040010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"gross_charge":2,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Covid-19 Vaccine (Moderna)","code_information":[{"code":"4070073","type":"CDM"},{"code":"636","type":"RC"},{"code":"80777027310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"gross_charge":2,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Covid-19 Vaccine (Janssen)","code_information":[{"code":"4070114","type":"CDM"},{"code":"250","type":"RC"},{"code":"59676058005","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":2801,"gross_charge":2,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","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":1},{"payer_name":"Anthem","plan_name":"Anthem Exchange","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Beacon Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Blue Cross Blue Shield","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Medicare Advantage","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":1},{"payer_name":"Coventry","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Harvard Pilgrim Health Care","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Manage Behavioral Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martin's Point Healthcare","plan_name":"Tricare","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MultiPlan","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"MVP Health Plan ","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Tufts Health Plan","plan_name":"Commercial","methodology":"per diem","standard_charge_dollar":2801},{"payer_name":"United Healthcare","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"United Behavioral Health (OPTUM)","methodology":"per diem","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"WellCare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellsense","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellsense","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"EA"}}],"last_updated_on":"2025-08-28","location_name":["Springfield Hospital"],"hospital_address":["25 Ridgewood Road, Springfield, VT 05156"],"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":"Robert Adcock"},"type_2_npi":["1033225875"],"license_information":{"license_number":"970","state":"VT"},"version":"3.0.0"}